Sample Opt In Page

First Name

Last Name

Zip

Subject

Message

By ticking this check box for SMS opt-in, I give my express consent to receive recurring automated texts from United Insurance Group Agency, Inc. regarding insurance quotes, insurance information, customer care, and updates at the phone number I provided above. Message and data rates may apply. I understand I can opt‑out by replying ‘STOP’ to any message, or get more info by replying ‘HELP.’ Consent is not required for purchasing products or services. My number will not be shared with third parties or affiliates. Text message frequency varies and may include up to 2 messages per week. Message and data rates may apply based on carrier.

I agree with the Terms of Services and Privacy Policy.

Marketing Communications: I consent to receiving telemarketing calls, including with automated dialing systems and pre-recorded voice, emails, and/or postal mail from [Company Name] at the email address, postal address, or phone number that I provided above

A licensed representative may call you regarding this insurance-related information request. CA License Number 0E02003.

This website serves as an invitation for you, the customer, to inquire about further information regarding Medicare Supplement insurance. Submission of your contact information gives permission for an agent to contact you with further information, including complete details on cost and coverage of this insurance. The licensed agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. Medicare has neither reviewed nor endorsed the information contained on this website. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov (TTY users should call 1-877-486-2048), 24 hours a day, 7 days a week or consult www.medicare.gov.