By submitting this form, I give express consent that this serves as my electronic signature to receive automated communications including calls, texts, emails, and prerecorded messages from [Disability Help Group], including a free consultation to determine if they can help me with a Social Security Disability and follow up and marketing communications. I understand that standard cellular, message and data rates will apply and that message frequency varies. I understand that I may opt out at any time by texting STOP. I waive all federal and state no-call registry protections. I understand my consent does not require me to purchase anything. Consent is not a condition of representation. I acknowledge that I have read and agreed to the Privacy Policy and SMS Terms of Service.

I, agree and understand that by checking the box and clicking submit, this serves as my electronic signature, and that all electronic signatures are the legal equivalent of my manual/handwritten signature. I consent to be legally bound to this agreement.