I voluntarily request and give permission to WellPlus Insurance LLC to contact me at the telephone number, email address, and/or mailing address I provide for the purpose of following up regarding this event and responding to my request for Medicare-related information or assistance. Contact may be made by an authorized WellPlus Insurance LLC employee or licensed insurance representative acting on behalf of WellPlus Insurance LLC.
I understand that providing my contact information and permission to be contacted is optional and is not required to attend this event, receive event materials, or participate in any drawing or giveaway. I may ask not to be contacted at any time.
This permission does not enroll me in any insurance plan and does not replace any Scope of Appointment that may be required before a personal Medicare marketing appointment.