Millicare Marketing Consent Form

MilliCare (“[MilliCare],” “we,” or “us”) may use and process your information for the purposes of providing marketing and other automated communications that contain promotional information on our products and services, [event invitations, information on rewards or loyalty programs and mailing of customer satisfaction surveys].[1] For further information, please see our Privacy Notice available here.

In accordance with applicable law, including the Telephone Consumer Protection Act, we seek your consent to contact you with certain non-emergency, promotional, automated, autodialed, prerecorded, or other telemarketing phone calls, text messages, or email communications. By signing this form, you authorize us [, our service providers] [, [and/or] our affiliates] to contact you using:

• The phone or mobile number and/or email address listed below
• An automatic telephone dialing system (ATDS) or artificial prerecorded voice.

[1] Under applicable U.S. law, disclosures on the purposes for marketing/promotional communications is not required to be included in a consent form. Nonetheless, as best practice, your company may want to include such information. We have bracketed potential uses, but this language should be reviewed for accuracy based on your company’s practices.