Phone760-674-8700  ContactContact Us
Request a Quote!
  • Google Places icon Google Places
Padgham Insurance Services
Menu
  • Home
  • About
  • Personal
    • Auto Insurance
    • Boat & Watercraft
    • Condo Insurance
    • Earthquake
    • Flood Insurance
    • Homeowners Insurance
    • Individual Annuities
    • Individual Disability
    • Individual Health Insurance
    • Individual Life Insurance
    • Long Term Care
    • Manufactured / Mobile Home
    • Medicare Supplements
    • Motorcycle Insurance
    • Personal Umbrella
    • Recreational Vehicle
    • Renters Insurance
    • SR 22
  • Business
    • Agribusiness
    • Apartment Building Owners
    • Bonds
    • Builders Risk
    • Business Owners Policy (BOP)
    • Church Insurance
    • Commercial Auto
    • Commercial Property
    • Condo Association
    • Contractors
    • Cyber Liability
    • Directors & Officers
    • EPLI Insurance
    • Errors and Omissions
    • Farm & Ranch
    • General Liability
    • Group Health Insurance
    • Group Life Insurance
    • Hotel / Motel
    • Non-Profit
    • Professional Liability
    • Restaurant
    • Truck & Trucking
    • Workers Compensation
  • Quote Request
    • Apartment Building Owners
    • Auto Insurance
    • Boat & Watercraft
    • Bonds
    • Builders Risk
    • Business Owners Policy (BOP)
    • Church Insurance
    • Commercial Auto
    • Commercial Property
    • Condo Association
    • Condo Insurance
    • Contractors
    • Cyber Liability
    • Directors & Officers
    • Earthquake
    • Errors and Omissions
    • Farm & Ranch
    • Flood Insurance
    • General Liability
    • Group Health Insurance
    • Group Life Insurance
    • Homeowners Insurance
    • Hotel / Motel
    • Individual Annuities
    • Individual Disability
    • Individual Health Insurance
    • Individual Life Insurance
    • Jewelry Floaters
    • Long Term Care
    • Manufactured / Mobile Home
    • Medicare Supplements
    • Motorcycle Insurance
    • Non-Profit
    • Personal Umbrella
    • Professional Liability
    • Recreational Vehicle
    • Renters Insurance
    • Restaurant
    • Truck & Trucking
    • Workers Compensation
  • Support
    • Payments & Claims
    • Add Driver Request Form
    • Add a Vehicle Form
    • Auto ID Card Request
    • Certificate of Insurance
    • Change of Address Form
    • Commercial Renewal Review
    • Online Claim Form
    • Personal Renewal Review
    • Policy Change Request
    • Questions & Comments
    • Remove Driver Form
    • Remove Vehicle Form
  • Resources
    • Mobile Responsive Version
    • Our Companies
    • Helpful Links
    • Common Insurance Terms
    • Privacy Policy Statement
    • Site Map
    • Refer a Friend
  • Contact
  • Home Page
  • Secure Form

Secure Refer a Friend Form

 
Your Name:
First Last
Use the fields below to refer a friend to Padgham Insurance Services. This information will not be sold or shared. Fields marked with a * are required.
Your Friend's Name:
*
*
Website Disclaimer - Review Carefully:

This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voice mail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions and exclusions of the actual policy issued. Not all policies or coverages are available in every state. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.
Google Local
  • Navigation
  • Home
  • About
  • Quote Request
  • Support
  • Resources
  • Payments & Claims
  • Our Companies
  • Contact
  • Privacy Policy Statement
  • Personal Lines
  • Auto Insurance
  • Homeowners Insurance
  • Individual Life Insurance
  • Individual Health Insurance
  • Motorcycle Insurance
  • Flood Insurance
  • Renters Insurance
  • Recreational Vehicle
  • Commercial Lines
  • General Liability
  • Commercial Auto
  • Workers Compensation
  • Bonds
  • Group Health Insurance
  • Commercial Property
  • Agribusiness
  • Church Insurance
  • Quote Request Forms
  • Apartment Building Owners
  • Auto Insurance
  • Boat & Watercraft
  • Bonds
  • Builders Risk
  • Business Owners Policy (BOP)
  • Church Insurance
  • Commercial Auto
  • Commercial Property
  • Condo Association
77564 Country Club Drive, Suite 210 A Palm Desert, CA 92211 | Phone: 760-674-8700 | Fax: 760-674-8704| Contact Us | Get Map
Located in Palm Desert, California. We also serve the Indian Wells, Indio, La Quinta, Palm Springs, and Rancho Mirage areas. - Licensed in Arizona,  California (#0E16186),  Oregon and  Washington
Site by: AlicorSolutions.com • © 2021 Padgham Insurance Services