Referral Form

Refer a friend to Manning Insurance & Real Estate

We love referrals! The greatest testament that our customers can provide is by referring their friends and family to Manning Insurance & Real Estate. Thank you for your referral, and we thank you even more for your continued business.

Your Information

First Name*

Last Name*

Your Email Address*

Your Phone Number*

Your Friend's Information

Friend's First Name*

Friend's Last Name*

Your Friend's Email Address*

Your Friend's Phone Number*

Special Comments*

Submission Validation

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Mission Statement

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Manning Insurance Agency
302 Main Street
Manning, IA 51455

Phone: 712-655-4076
Fax: 712-655-5076
Email: mia@manningins.net

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