Free Privacy Disclaimer Template
Privacy Disclaimer
Please fill out this form to acknowledge the privacy disclaimer and understand how your personal information will be used and protected.
Personal Information
Name
Address
Phone number
Purpose of Information Collection
Please specify the purpose for which your information is being provided
-
Service Request
-
Subscription
-
Feedback
-
Use of Information
The information collected will be used only for the specified purpose above and will not be shared with third parties without your consent, except as required by law.
Data Protection Measures
We will take appropriate steps to ensure the confidentiality and security of your personal information.
Your Rights
You have the right to access, update, or request the deletion of your personal information. For any privacy-related concerns, please contact us at [Your Company Number] or [Your Company Email].
Acknowledgment
By signing below, you acknowledge that you have read and understood this privacy disclaimer.
Name:
Date:
Disclaimer Templates @ Template.net
Thank you for your submission!
We appreciate you taking the time to submit.
Create free forms at Template.net
