Secure Disability Insurance Quote Request Form

The undersigned client ("You") consents to receive text messages from K.D. Hicks Insurance Agency, Inc. ("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.