Examples of Email Consent in a sentence
However, Client may request hard copy mailing for all notices by checking the appropriate box in the Email Consent portion of this Agreement.
Contact Person: please specify who should be contacted regarding the progress of this Treatment Guarantee application.Name: Relationship to Patient: Policy holder, dependent, colleague/friend Mobile Number: Email: Consent to processing of medical dataWe need the patient’s consent (or the patient’s parent or guardian’s consent) to use the medical information provided to us in order to provide a treatment guarantee.
Name: ( shares; option shares) Phone: Fax: Email: Consent of Spouse: I, , spouse of who executed the foregoing Agreement, hereby agree that my spouse’s interest in the shares of FENB Stock subject to this Agreement shall be irrevocably bound by the Agreement’s terms.
Alert through SMS and / or E-mail Consent for receiving trade alert through SMS and / or E-mail documents etc.
Date and signature: New holder of the rights of use: a) where the new rights holder is an individual: Name and surname: Date of birth: Permanent address: Mail address: Phone: E-mail: Consent of the new holder of the rights of use to the processing of personal or (where applicable) sensitive data related to him/her:7 Pursuant to Act No 101/2000 Coll.
The patient must authorize the use of email for communicating patient PHI in writing (see: sample Email Consent Form attached as Appendix 1).
You will receive four templates in which to insert information specific to your institution: Invitation Email, Reminder Email, Consent Form, and Raffle Page.
Personal details of all other parties PARTY C Forename: Surname: Address: Postcode: Tel: Email: Consent to mediation Mediation is a non-binding and voluntary form of alternative dispute resolution.
Print name………………………………………………….Please turn over to complete the text messaging form …Stoke Road SurgeryPatient SMS & E-mail Consent Form To help with communication, we use sms text messaging to confirm appointment bookings and cancellations, send appointment reminders and send important health promotion information, (for example, when we are running our flu clinics).
Dated this Day of 20 ACCEPTED AND AGREED TO BY THE UNDERSIGNED: Signature USER NAME (Please Print) Email Consent By checking this box you agree to receive emails from the Brampton Real Estate Board specifically the weekly newsletter; event invitations; as well as being added to our Member Email Mailing List.