Simply Noted Request Form

Garity has partnered with Simply Noted to give agents an easy, automated way to send real handwritten cards that help strengthen client relationships and retention. As a Garity agent*, you’ll receive an exclusive 10% discount on all Simply Noted orders.

Fill out the form to get details on Simply Noted and unlock your 10% Garity agent discount.

By completing this form you may be contacted by representives from GarityAdvantage and Simply Noted.

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 Simply Noted program. 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 and Simply Noted, 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*

Director/FSM*

Comments