Business Name (required)
By checking this box and clicking SUBMIT, I provide my express consent electronically via E-Sign to acknowledge the Privacy Policy and Terms of Use, including binding arbitration. I consent to receive communications from Preferred Insurance (PCIA), including calls, texts and emails at the phone number and email address I provided. These communications may include information regarding scheduling, application status, marketing, and other relevant updates. Messages may be sent using automated systems, such as autodialers or prerecorded/artificial voice messages. Message frequency may vary. Message & data rates may apply. Reply STOP to any text to opt out and for assistance reply HELP, or contact PCIA at 888-943-5144. This consent overrides any registration on state or federal Do-Not-Call lists and I may revoke this consent at any time. Providing this consent is not a condition of purchasing any goods or services.