Text Message (SMS) Consent Form — Jose Gutierrez

SMS program: Jose Gutierrez · Sent by Jose Gutierrez, insurance agent, Glendale, California · Contact: jggutierrez@ft.newyorklife.com

Leave the box unchecked if you do not want text messages. You can opt out at any time by replying STOP. After you sign up, you will receive one confirmation text.

For office use: signed forms are kept on file as the record of consent.