Input RSVP Info

First Name

Last Name

Address

City

State

Postal code

Phone *

Seminar Date *

Restaurant and Address

Deano's Bertrand -305 Bertrand Dr, Lafayette, LA 70506

Deano's South -2312 Kaliste Saloom Rd, Lafayette, LA 70508

Is he/she on waiting list? *

Yes

By submitting your information, you agree and acknowledge that this is a solicitation for insurance. A Licensed Sales Representative with Acadiana Insurance Advisors, will contact you via various methods, including AI outbound calls, AI and automated messages from an auto responder, phone calls, SMS, and email. We are not affiliated with or endorsed by any government entity, including the U.S. government or the federal Medicare program.

We do not offer every plan available in your area that is set by CMS. Any information you provide may be used to contact you regarding Medicare options and related services.

By checking this box and submitting your information, you provide express written consent to receive communications via phone, SMS (including text messages and pre-recorded or artificial voice messages), email, and other automated methods from Acadiana Insurance Advisors. These communications may be made using a multiline dialer, auto dialer, or Voice over Internet Protocol (VoIP) system, even if your phone number is on a state or national Do-Not-Call registry. This consent is not a condition for purchase. You may revoke your consent at any time by replying “STOP” to any SMS, opting out via email, or contacting us directly.

Your consent will remain valid for up to 12 months from the date of submission unless revoked sooner. All calls are recorded for quality and training purposes.

Notes