Customer Referral Form

Now is your chance to help a friend and a charity at the same time!

Charles J. Sellers & Company is excited to announce our new Referral Program! To celebrate our 100 year anniversary, we are launching this new program to give back to our customers and our communities who have supported us over the last century. KEYWORD: PAYITFORWARD

If you have friends, family members, or coworkers who you think may benefit from the insurance products and outstanding service Sellers Insurance provides, please refer them for a quote on their personal or business insurance.

For every referral we receive, we will donate $25 in your name to the charity of your choice, regardless of whether insurance is purchased! Some of our favorites are Cradle Beach, Coalition for the Homeless, and The MOCHA Center, or you can choose one of your own! Thank you for supporting our Agency and our communities!

Together we can make a difference!