LPi Request Form

Advertise in your local church and senior center newsletters, bulletins, emails and social media feed!

GarityAdvantage has partnered with LPi 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 LPi.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

NPN*

State*

Comments

*Agent must have 3+ Active MAPD Contracts with GarityAdvantage to qualify for the LPi special offer. Pricing and discount varies. Complete this form more information.

Need contracts? Get started here: garityadvantage.com/getcontracted

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

To learn more about LPi or to contact them directly, visit their website.

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.

Reviewed by*

First NameLast Name

Review Date*

Date

Approved/Not Approved*

Comments