Simplify Your Coverage

By submitting this form, I provide my express written consent for MarinaLifeHealth, through its representatives, to contact me at the telephone number I provided, including via direct or electronic mail, (including any wireless number), text/SMS messages, live automatic/automated dialing systems, telephone calls, or email. This authorization overrides any previous registration on a federal, state, or corporate Do Not Call Registry or any internal privacy or solicitation preferences I have previously expressed. I understand that consent to be contacted is not a condition of purchase, and I may revoke my consent at any time by contacting MarinaLifeHealth directly. Revocation of consent will not affect the lawfulness of communications initiated prior to my withdrawal of consent. I further understand that by submitting this form, I am acknowledging and agreeing to receive communications on a recorded line for quality assurance and compliance purposes. Any charges or fees imposed by my telephone provider, including standard message or data rates, are my responsibility. I affirm that the information I have provided is accurate and belongs to me. By providing this information, I release MarinaLifeHealth from any liability resulting from misrepresentation, incorrect, or unauthorized submission of this form. This request and any resulting communication comply with federal and state telemarketing and Do-Not-Call laws, as well as the Telephone Consumer Protection Act (TCPA) and related FCC regulations.