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By submitting this form, I am providing express consent to receive marketing communications via automated telephone dialing systems, artificial or pre-recorded voices, emails, live phone calls, pre-recorded calls, postal mail, text messages via SMS or MMS and other forms of communication regarding offers of Medicare Supplement, Medicare Advantage, Part D or other products from the CRM group to the number(s) and/or email I provide, including a mobile phone, even if I am on a state or federal Do Not Call and/or Do Not Email registry. I understand that my consent to receive communications is not a condition of purchase and I may revoke my consent at any time by contacting the agent/Company.