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Let's Chat! (Permission to Contact)

I grant permission for CHERYL HIDLE, a licensed independent sales agent, to
contact me up to 12 month after the date shown above. I am not required to
complete this form but have chosen to do so at my discretion.

Thanks for submitting!

*By calling or contacting us using this permisstion to contact form, you agree to be contacted via phone, text or email by a licensed insurance agent to discuss Medicare Advantage, Part D Prescription Drug Plans, or Medicare Supplements.

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