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/or Veteran's Disability claim, 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 Terms of Service and Privacy Policy.

 I, agree and understand that by Clicking "Request A Call Back", 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.