SMS (Text) Consent Form

DISCLAIMER 

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message and Data Rates may apply. You can STOP messaging by sending STOP and get more  help by sending HELP. If you would like more information on how we carefully handle your personal  information, we ask you to refer to our privacy policy on our website. Here is the link to review this - https://ls-insurance.com/privacy-policy

***By typing your name in the signature field below with a back slash before and after your name, you agree and acknowledge that the same constitutes your signature to this agreement which shall become binding upon execution.      EXAMPLE :     /JOHN DOE/