CIC Contact Consent Form

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We need your permission to send you updates from CIC. When you “opt-in,” you are opting in to receive messages from CIC. It is very important that we receive your permission to contact you. Thank you in advance for giving us your consent!

Name *

Email *

Address *

May we text you? *

By submitting your mobile phone number, you agree and are authorizing CIC, P (opting in) to send you informational and other related texts. Message/data rates apply. Please contact the office to stop receiving messages.

Yes

Required

Cell Phone number *

Text and Email consent:

I understand that such electronic communications may be made via telephone, autodial, cell phone, text messaging, e-mail, CIC,P's social media accounts, or other electronic means.

Please note: By providing the email address and/or cell phone number, you grant CIC,P permission for electronic communication from CIC,P to the contact above, in regards to all forms of communication.

I agree to the terms as stated above in 'Text and Email Consent'

I give my permission to be contacted via text, email, phone and social media

Required

Confidentiality Disclosure:

This information is for use by staff and members of Community In Christ, Presbyterian (CIC,P).

*****The content of this email is confidential and intended for the recipient specified in the message only by CIC,P. It is strictly forbidden to share any part of this message with any third party, without a written consent of the sender. If you received this message by mistake, please reply to this message and follow with its deletion, so that we can ensure such a mistake does not occur in the future.*****

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