Free Consumer Consent Form Template
Consumer Consent Form
Please sign this form to confirm that you consent to the use of your information.
Name
Date of Birth
Phone Number
Email Address
Home Address
Purpose of Consent
I consent to the following:
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Collection and use of my personal information for service fulfillment.
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Sharing of my data with third-party service providers.
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Receiving promotional and marketing communications.
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Participation in surveys and feedback requests.
Consumer Rights & Acknowledgment
I understand that my information will be used in accordance with company policies. I acknowledge that I have the right to withdraw my consent at any time.
Name:
Date:
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