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Refer a District Representative


Do you know someone who has a strong ambition to succeed and is looking for a challenging and rewarding career opportunity? If so, a career with National Mutual Benefit would be a great fit! We want to offer you this bonus if you help us find the right person for the job. Read the complete job description here.

Referral Form

Complete the form below to make your referral. Currently, NMB is considering candidates who reside in Wisconsin, Illinois, Iowa, Minnesota, North Dakota, or South Dakota. If your candidate is hired as a full-time district representative, you will receive $250 after he or she is employed for three months. If your candidate is employed after six months, you will receive another $250. If your candidate is employed after one year, you will receive an additional $500 (minimum production requirements apply).

Candidate Information

Name:
Address:
City: State: ZIP:
Phone: Email:

Your Information

Name:
Address:
City: State: ZIP:
Phone: Email: Date:

Form W2714 rev 01/09/2017