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I acknowledge and understand that by submitting my phone number and information and clicking “[SUBMIT],” such action constitutes a signed written agreement that I may be contacted by Outreach Medicare, LLC, via e-mails, SMS, phone calls and prerecorded messages at any phone number(s) that I provide, even if the number is a wireless number or on any federal or state do-not-call list, and I represent and warrant that I am the primary user and subscriber to any phone number I submit. I also agree that the above entity may contact me utilizing automated technology, including an autodialer. I also agree that I am not required to submit this form or agree to these terms as a condition to receive any property, goods, or services that may be offered, and that I may revoke my consent at any time using reasonable means, including by calling 800-531-3748 or emailing revokeconsent@medicarehealthbenefits.com.

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