Electronic Communication Consent Form

Please read the following information regarding electronic communications and provide your consent.

Consent to Electronic Communications

By signing this form, you consent to receive communications, notices, and disclosures from us electronically. These communications may be sent via email or other electronic means.

• You acknowledge that electronic communications fulfill any legal requirement that communications be in writing.
• You agree to keep your contact information up to date.
• You may withdraw your consent at any time by notifying us in writing.

Contact Information

Full Name Email Address Date Signature

Additional Notes