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class="siteorigin-widget-tinymce textwidget"> <h2 style="text-align: center;">Contact Seniormark Today!</h2> <p style="text-align: left;"><img fetchpriority="high" decoding="async" class="wp-image-155507 aligncenter" src="https://seniormark.com/wp-content/uploads/2020/08/seniormark-team-Aug-2020wnames-300x152.jpg" alt="" width="527" height="267" srcset="https://seniormark.com/wp-content/uploads/2020/08/seniormark-team-Aug-2020wnames-300x152.jpg 300w, https://seniormark.com/wp-content/uploads/2020/08/seniormark-team-Aug-2020wnames-768x389.jpg 768w, https://seniormark.com/wp-content/uploads/2020/08/seniormark-team-Aug-2020wnames.jpg 929w" sizes="(max-width: 527px) 100vw, 527px" /></p> <p style="text-align: center;">Thank you for contacting us!  We are an independent agency, so we have many options available to you!  Please complete the form below and someone will be in contact with you.  If you want to talk to someone immediately, please call our office at 937-492-8800.</p> <p style="text-align: center;">When we say our services are "no cost to you" we really mean it! We are an insurance brokerage and we get paid by the insurance company when you decide to place your insurance coverage through one of our carriers.</p> </div> </div></div></div></div><div id="pg-154-1" class="panel-grid panel-no-style" ><div id="pgc-154-1-0" class="panel-grid-cell" > <script type="text/javascript"> if( window['jQuery'] ) { ( function( $ ) { $( document ).bind( 'gform_post_render', function() { var $firstError = $( 'li.gfield.gfield_error:first' ); if( $firstError.length > 0 ) { $firstError.find( 'input, select, textarea' ).eq( 0 ).focus(); document.body.scrollTop = $firstError.offset().top; } } ); } )( jQuery ); } </script> <div id="panel-154-1-0-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="1" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <script type="text/javascript"></script> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gravity-theme' id='gform_wrapper_1' style='display:none'> <div class='gform_heading'> <h2 class="gform_title">Contact Us</h2> <span class='gform_description'></span> <p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p> </div><form method='post' enctype='multipart/form-data' id='gform_1' action='/contact/' > <div class='gform_body gform-body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><fieldset id="field_1_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><legend class='gfield_label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_1'> <span id='input_1_1_3_container' class='name_first' > <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-label='First name' aria-required='true' /> <label for='input_1_1_3' >First</label> </span> <span id='input_1_1_6_container' class='name_last' > <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-label='Last name' aria-required='true' /> <label for='input_1_1_6' >Last</label> </span> </div></fieldset><div id="field_1_2" class="gfield gfield--width-half gf_left_half gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_2' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_1_2' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></div><div id="field_1_3" class="gfield gfield--width-half gf_right_half gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_3' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_1_3' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_1_10" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_10' >Zip Code</label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_1_9" class="gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_9' >Birthday</label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_1_6" class="gfield gf_right_half gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_6' >I have questions about:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_1_6' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Please select' >Please select</option><option value='Medicare Planning for Myself' >Medicare Planning for Myself</option><option value='Medicare Planning for My Employees' >Medicare Planning for My Employees</option><option value='Financial Planning' >Financial Planning</option><option value='Social Security' >Social Security</option><option value='Workshops' >Workshops</option><option value='Other' >Other</option></select></div></div><div id="field_1_4" class="gfield gf_left_half gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_4' >Company</label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_1_4' type='text' value='' class='medium' aria-invalid="false" /> </div></div><div id="field_1_5" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_1_5' >My Questions:</label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_1_5' class='textarea medium' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_1_11" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" ><legend class='gfield_label 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<div class="siteorigin-widget-tinymce textwidget"><strong>Seniormark LLC Locations</strong></div> <div></div> <div class="siteorigin-widget-tinymce textwidget">2551 Michigan St.<br /> Sidney, Ohio 45365</div> <div></div> <div class="siteorigin-widget-tinymce textwidget">59B N Dixie Dr.<br /> Vandalia, Ohio 45377</div> <div></div> </div> </div></div></div><div id="pgc-154-2-1" class="panel-grid-cell" ><div id="panel-154-2-1-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="3" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p>Local: <a href="tel:9374928800"> 937-492-8800</a> | Toll Free: <a href="tel:8774928803"> 844-782-8800</a><br /> Fax: 937-622-6009<br /> Email: <a href="mailto:admin@seniormark.com">admin@seniormark.com</a></p> <p><em>Calling the above number will direct you to a licensed insurance agent.</em></p> </div> </div></div></div></div><div id="pg-154-3" 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Dixie Drive Vandalia, Ohio 45371","info":"Seniormark LLC<\/strong>\n59B N. Dixie Drive Vandalia, Ohio 45371<\/p>\n","infoSelectedEditor":"tinymce","infoMaxWidth":"","customMarkerIcon":0,"customMarkerIconSize":""}],"mapName":"","mapStyles":"","directions":"","apiKey":"AIzaSyB3PFuLHC2DDcSRkMRMobc_DQnof54GDq0","breakpoint":780}" data-fallback-image="{"img":""}"></div> </div></div></div></div></div> </div> </div>  </div>  <footer class="footer" role="contentinfo"> <div id="inner-footer" class="row"> <div class="large-4 medium-4 small-12 columns"> <p><a href="https://seniormark.com"><img loading="lazy" decoding="async" class="alignnone wp-image-74 size-full" src="https://seniormark.com/wp-content/uploads/2016/07/Footer_logo.png" alt="Footer_logo" width="215" height="51" /></a></p> <p>Advisory Services are offered through Creative Financial Designs, Inc., a Registered Investment Advisor, 2704 South Goyer Rd., Kokomo, IN 46902. 765-453-9600. Seniormark, LLC is not an affiliate of Creative Financial Designs, Inc.</p> <p><a href="https://creativefinancialdesigns.com/wp-content/uploads/2021/04/SEC-Form-CRS.pdf">CFD Investments and Creative Financial Designs Form CRS</a> </p> <p>Seniormark, LLC is not connected with or endorsed by the United States government or the federal Medicare program.</p> <p>We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.</p> </div> <div class="large-4 medium-4 medium-offset-1 small-12 columns"> <p>2551 Michigan Street ∙ Sidney, OH 45365<br /> 59B N. 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