Online Broker Marketing Program Opt-In Form
I acknowledge that Simpson Financial Group, Inc. (“SFG”), doing business as Simpson Financial Group, has requested my permission to use my personal contact information for online agent marketing programs. These programs will enable potential customers who are looking for an insurance agent in their local area, to see my personal contact information and contact me directly.
I acknowledge and agree that the information posted online may include my name, home address and telephone number. I further acknowledge I have provided Insphere with the correct personal contact information for use in its online agent marketing programs.
I authorize SFG to post my personal contact information in online agent marketing programs.
I acknowledge that once my personal contact information is posted online it may be difficult or impossible to have it removed.
I acknowledge that customers will be able to post reviews related to my services on Google, Facebook, Yahoo, Yelp and other web pages as a result of my participation in online broker marketing programs.
I acknowledge that SFG’s Compliance Department may monitor customer reviews of me and the services I provide.
I understand that there are eligibility requirements for online agent marketing programs and there is no guarantee that my information will be used.
By clicking the button below I agree to the foregoing terms and conditions. If I do not agree, I will not click the button and SFG will not include my personal contact information in its online agent marketing programs.
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
Per the terms of our
we will not resell your information to any third-party.