Privacy Disclaimer

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

        Email

          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