Leading Response Seminar inquiry form

Organize, promote and host compliant & educational Medicare Dinner Seminars

GarityAdvantage has partnered with LeadingResponse to provide special pricing for qualified* GarityAdvantage agents. Contact Garity if you have any questions.

By completing this form you may be contacted by representives from GarityAdvantage and LeadingResponse.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Seminar Details

(please provide as much information as you can about the event(s) you would like to host)
State
What state do you want to host your seminar(s)
City/Town
What city/town do you want to host your seminar(s)
Zip Code(s)
Include zip codes you would like to reach with seminar marketing (if known)
Ideas for Venue
Do you have a specific venue in mind to host your seminar?
Additional Brokers
Please provide additional brokers (2 max) participating in the seminar(s)
Questions/Comments
*Agent must have 3+ Active MAPD Contracts with GarityAdvantage to qualify for the LeadingResponse special offer. Need contracts? Get started here: garityadvantage.com/getcontracted

Or Call/Email us to discuss your options:
800-234-9488 / recruitment@garityadvantage.com

By completing this form and providing your name, email, postal or residential address, and/or phone number, you hereby expressly consent to receive electronic and other communications from GarityAdvantage Agencies, over the short term and periodically, including email and text communications. These communications will be about their services, new product offers, promotions, and other matters. You may opt out of receiving electronic communications at any time by following the unsubscribe instructions contained in each communication, or by sending an email to seniormarket@garityadvantage.net. You agree that these electronic communications satisfy any legal requirements that communications or notices to you be in writing.
Should be Empty:

Seminar Details