Telecommunications Marketing Consent Opt-Out Form
Request to stop receiving marketing communications from our telecommunications services.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (linked to your account or used for marketing)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method for Confirmation
*
Email
Phone Call
SMS/Text
Type(s) of Marketing Communications to Opt Out From
*
Promotional Emails
Marketing Phone Calls
SMS/Text Promotions
All Marketing Communications
Other
Are you the account holder?
*
Yes
No, I am acting on behalf of the account holder
If you are acting on behalf of the account holder, please specify your relationship (e.g., parent, legal guardian, authorized representative)
Account Number (if applicable)
Reason for Opting Out (optional)
Additional Comments or Requests
Signature (required to confirm your request)
*
Submit Opt-Out Request
Submit Opt-Out Request
Should be Empty: