Basket

First Name:

Last Name:

Zip Code:

Phone Number:

By submitting this form, you agree to the Terms and Conditions and Privacy Policy that licensed insurance agents employed with Indus Insurance Claims or their Legal Partners may contact you regarding Motor Vehicle Accidents for insurance plans by phone or email. You expressly consent to receive phone calls (including autodialed and/or pre-recorded/artificial voice calls) and email using automated technology at the phone number and email address you provided, even if it is a wireless number, regardless of whether you are on any Federal or state DNC (Do Not Call) and/or DNE (Do Not Email) list or registry. In addition, you understand and acknowledge that you are over 18 years of age and your consent is not required as a condition of purchase.

No Comments