Please sign and return this form via email. We may use SMS text messaging for certain types of communication with you, including billing, customer service, appointment reminders and other administrative requests.
Client full name: _______________
Client mobile #: _______________(Optional)
Providing us with your mobile phone number is optional. It will not affect our services to you. By entering your phone number, you agree to receive informational SMS messages (appointment reminders, account notifications, etc.) from KUTSA FAMILY LLC. Message frequency varies. Message and data rates may apply. For help, reply HELP or email us at Contact@Kutsa.com. You can opt out at any time by replying STOP. See Privacy Policy & Terms and Conditions below.
You agree to receive informational messages (appointment reminders, account notifications, etc.) from KUTSA FAMILY LLC. Message frequency varies. Message and data rates may apply. For help, reply HELP or email us at Contact@Kutsa.com. You can opt out at any time by replying STOP.
We may collect information, such as name, phone number, and email address.
We may use the information we collect to perform the services requested including billing, customer service, appointment reminders and other administrative requests.
We may share information we collect with payment processors, legal authorities, partners so that these service providers can perform their normal duties. We do not share, sell, rent, or trade any information provided with third parties for promotional purposes.
As a current or prospective customer, you understand that you can text us STOP at any time to opt out of receiving SMS text messages from us. You can text us HELP at any time to receive help. You understand that the messaging frequency may vary. Messaging & data rates may apply. Your mobile information will not be shared with any third parties/affiliates for marketing/promotional purposes. All policies are followed as per CTIA guidelines 5.2.1. At any time if you want your information to be removed, you can contact us via our email address or regular mail.
You can contact us for any privacy related queries via our email address or regular mail.
Our email address:
Contact@Kutsa.com
Our address:
21100 Rainbow Place
CUPERTINO, CA 95014
US
Please sign and return this form via email.
Client signature: ________________________________
Date: ____________________________________________
For a printable version of this form, please click here to print.