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Home > Text Messaging Opt-In Form
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Text Messaging Opt-In Form


Text Messaging Opt-In Form with T. Larry Johnson Insurance Agency, LLC

The undersigned client ("You") consents to receive text messages from T. Larry Johnson Insurance Agency, LLC (the "Agency") or others acting on the Agency's behalf. As part of this consent, You represent and warrant the following:

(1) The Agency or others acting 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.
(2) You are the owner or authorized user of the mobile phone number identified below. You will notify us immediately if you are no longer the owner or authorized user of the mobile phone number specified below.
(3) You are solely responsible for any message and data charges associated with such text messages.
(4) The Agency has made its Privacy Policy available to You on its website at https://www.3611982.com/privacy and will provide You with a hardcopy of the Privacy Policy upon request. By submitting this opt-in form, you agree to the Privacy Policy.
(5) If you submit this opt-in form, You will receive an initial text message to the mobile phone number below asking You to confirm your consent with a YES response.
(6) You may OPT OUT of text message communications with our office by texting STOP from your mobile phone number at any time and you will be removed from our approved texting list.
(7) 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 and Conditions, You should not submit this form.


I herby agree to opt-in use of my mobile number for communications with T. Larry Johnson Insurance Agency, LLC
First Name *
Last Name *
ZIP / Postal Code *
Primary Phone Number *
E-Mail Address *
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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Location
1009 Whitney Ave
Gretna, LA 70056

Phone: 504-361-1982
Fax: 505-754-7878
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