{"id":33,"date":"2014-11-02T22:36:05","date_gmt":"2014-11-02T22:36:05","guid":{"rendered":"http:\/\/www.gerlinginsurance.com\/?page_id=33"},"modified":"2021-04-28T20:33:48","modified_gmt":"2021-04-28T20:33:48","slug":"product-information","status":"publish","type":"page","link":"http:\/\/www.gerlinginsurance.com\/?page_id=33","title":{"rendered":"Request Product Information"},"content":{"rendered":"\n\n[et_pb_section][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text]<strong>For Immediate Service Call 800-755-6790<\/strong>\n<div class=\"wpcf7\" id=\"wpcf7-f52-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form name=\"\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F33#wpcf7-f52-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"52\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"4.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f52-o1\" \/>\n<input type=\"hidden\" name=\"_wpnonce\" value=\"f584ae1cb1\" \/>\n<\/div>\n<p>Your Name<br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Your Address <br \/>\n<span class=\"wpcf7-form-control-wrap address\"><input type=\"text\" name=\"address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Your Phone <br \/>\n<span class=\"wpcf7-form-control-wrap tel-972\"><input type=\"tel\" name=\"tel-972\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Your Email<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p> Principle Protected 401K and IRA rollouts <br \/>  <span class=\"wpcf7-form-control-wrap checkbox-925\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-925[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-925[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>           <\/p>\n<p>Medicare Supplement Benefits for Medicare Beneficiaries \t<br \/>   <span class=\"wpcf7-form-control-wrap checkbox-34\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>          <\/p>\n<p>Long Term Care \t<br \/>     <span class=\"wpcf7-form-control-wrap checkbox-726\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-726[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-726[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>        <\/p>\n<p>Life Insurance \t<br \/>        <span class=\"wpcf7-form-control-wrap checkbox-456\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-456[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-456[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>     <\/p>\n<p>Insured Annuities \t<br \/>       <span class=\"wpcf7-form-control-wrap checkbox-237\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-237[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-237[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>      <\/p>\n<p>Specialty\/Other <br \/>     <span class=\"wpcf7-form-control-wrap checkbox-934\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-934[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-934[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>        <\/p>\n<p> Sign Up for ObamaCare <br\/>              <span class=\"wpcf7-form-control-wrap checkbox-257\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-257[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-257[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span> <\/p>\n<p> Sign Up for ACA Major Medical<br\/>         <span class=\"wpcf7-form-control-wrap checkbox-201\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-201[]\" value=\"Yes\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-201[]\" value=\"No\" \/>&nbsp;<span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>      <\/p>\n<p>Comments<br \/>\n    <span class=\"wpcf7-form-control-wrap your-message\"><textarea name=\"your-message\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/p>\n<p><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<strong>For Immediate Service Call 800-755-6790<\/strong>\n[contact-form-7 id=\"52\" 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