MODEL ASSOCIATION FAX CONSENT FORM
FOR COMPANY/ORGANIZATION CONSENT
Company/organization name for which consent is being provided:
_____________________________________________________
Name of person authorized to provide such consent:
_____________________________________________________
Fax number(s) for which consent is being provided:
_____________________________________________________
I understand that by providing the fax number(s) above, on behalf of the company/organization specified above, I am authorized to and hereby consent for the company/organization to receive faxes sent by or on behalf of ABC ASSOCIATION, ABC FOUNDATION, ABC SERVICES CORPORATION, AND/OR ABC PAC.
Signature: ___________________________________________
Date: _______________________________________________
* * * * *
FOR INDIVIDUAL CONSENT
Name of person providing consent:
_____________________________________________________
Fax number(s) for which consent is being provided:
_____________________________________________________
I understand that by providing the fax number(s) above, I hereby consent to receive faxes sent by or on behalf of ABC ASSOCIATION, ABC FOUNDATION, ABC SERVICES CORPORATION, AND/OR ABC PAC.
Signature: ___________________________________________
Date: _______________________________________________