I agree to receive customer care text messages from Cater Insurance Brokers regarding my insurance quote request, application updates, policy/service reminders, appointment scheduling, document requests, account follow-ups, and promotional insurance offers. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out at any time. Reply HELP for help. Consent is not required to purchase insurance or receive a quote. Visit our privacy policy and terms & conditions

I am requesting insurance information, a quote, enrollment assistance, or policy service from Cater Insurance Brokers. I authorize Cater Insurance Brokers to contact me by telephone and email regarding this specific request. I understand that submitting this form does not bind coverage, guarantee eligibility, create an insurance contract, or make a policy change effective.*

I confirm that the information I submitted is true, accurate, and complete to the best of my knowledge. I understand that complete and accurate information may be required before an insurer can quote, issue, renew, change, or service coverage.*

I acknowledge that Cater Insurance Brokers may collect, use, retain, and disclose information as described in its Privacy Policy for quoting, applications, enrollment, underwriting, policy service, fraud prevention, compliance, and related insurance purposes. Information may be provided to insurers, managing general agents, wholesalers, raters, enrollment platforms, consumer-report providers, and service providers as reasonably necessary for my request.*

I agree to receive text messages from Cater Insurance Brokers at the number I provided regarding my quote, application, enrollment, underwriting, documents, appointments, payments, renewals, policy service, and customer-support requests. Messages may be sent using automated technology. Message frequency varies. Message and data rates may apply. Consent is not required to purchase insurance or receive a quote. Reply STOP to opt out or HELP for help. Contact 929-552-2457.

I agree to receive marketing calls, text messages, and emails from Cater Insurance Brokers concerning other insurance products that may fit my household, employees, or business, including commercial, personal, life, and health-related coverage where available. Messages may use automated technology. Consent is not required to purchase insurance or receive a quote. I may withdraw this permission at any time.

I authorize Cater Insurance Brokers and the insurers, managing general agents, wholesalers, or insurance platforms selected for my request to obtain and use consumer reports and insurance-history information as permitted by law for quoting, eligibility, underwriting, fraud prevention, and policy service. This may include motor vehicle records, insurance scores, credit-based insurance information where permitted, prior claims, CLUE or A-PLUS reports, loss history, and related records.*

I agree to conduct this transaction electronically. I understand that checking this box, typing my name, clicking an acceptance button, or applying an electronic signature may constitute my electronic signature and evidence my intent to sign, to the extent permitted by law. I understand that electronic submission does not by itself bind, issue, renew, reinstate, cancel, or change insurance coverage.*

I understand that misrepresentation or omissions may result in adjusted quotes, declination, cancellation, rescission, or claim denial. I agree to conduct business electronically and that checking this box and submitting the form constitute my electronic signature.*

 I consent to receive transactional calls, texts, and emails about my quote/policy (which may use automated technology); consent is not a condition of purchase. Message/data rates may apply. I acknowledge the Privacy Policy & Terms*

I certify that all information I provide is true, correct, and complete.*