VEU Upgrades Consent Form (Safe Planet)

To Receive a phone call or information about VEU Activities for your residential and commercial premises.

Submission Date *

I am inquiring about *

My home

My business

I consent to "Safe Planet" telephoning me to provide information about the activities offered under the VEU program:* *

Yes

No

Reference *

I understand that my consent lasts for three months, but I can withdraw my consent at any time* *

Yes

No

I am over 18 years of age *

Yes

No

Authorized signatory *