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Secure Text Messaging Opt-in

 
Your Name:
First Last

The undersigned client (“You”) consents to receive text messages from George's Insurance (“The Agency”). As part of this consent, You represent and warrant the following:

The Agency (employees or others on the Agency’s behalf) may send text messages in various formats and with different contents, including but not limited to text messages about insurance policies and other transactions initiated by You or marketing the products and services offered by or through the Agency.

You are the owner or authorized user of the mobile phone number identified through this opt-in process. You will notify us immediately if you are no longer the owner or authorized user of this mobile phone number identified through our opt-in process.

You are solely responsible for any message and data charges associated with such text messages.

If you do not wish to receive text messages from the Agency or others acting on the Agency’s behalf or do not agree to the Terms of Use, you should not submit this form.

To Opt out of receiving text messages from The Agency at any time, send a text with STOP to The Agency, and You will be removed from the opted-in list. Once you have opted out, you must resubmit the opt-in consent form to receive future messages.

The Agency has made its Privacy Policy available to You on its website and will provide You with a hard copy upon request. By submitting this opt-in form, You agree to these Terms of Use.

Plans are insured or covered by a Medicare (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan's contract renewal with Medicare.
By submitting the information above, you are agreeing to be contacted by a Licensed Sales Agent by email or phone call to discuss information about Medicare Insurance Plans. This is a solicitation for insurance.

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560 Main Street Brookville, IN 47012 | Phone: 765-647-3551 | Fax: 765-647-3552 | Contact Us | Get Map
Mailing Address:  Po Box 67  Brookville, IN 47012
Located in Brookville, Indiana. We also serve the Indiana, Kentucky, and Ohio areas. - Licensed in Indiana,  Kentucky and  Ohio
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