• Your Information

  • Referral Information

Referring your friends and family to Harpers is one of the very best compliments we can receive. 

Your referral gives us the opportunity to meet new friends, to help protect and enhance their lives and continue to grow our business.

Simply call, email or fill out this form.  Give us your information and the contact information of the person you are referring.  We’ll do our best to help them. 

Once we have been able to help, (minimum $2500.00 signed contract) we want to show our appreciation to you with a $50 CASH GIFT.  (Up to (3) referrals).