Express Written Consent

# Opt-Out Consent Form

This form allows individuals to formally opt out of receiving communications or services from Help Exec. Please read the following statement carefully and complete all required fields.

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## Opt-Out Statement

I hereby request to opt out of receiving any further communications or services from Help Exec. I understand that by signing this form, Help Exec will cease to contact me via any previously provided means and will not provide further services, except as required by law or for essential notifications.

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Full Name: ________________________________

Signature: ________________________________

Date: ____ / ____ / ______

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By signing above, I confirm that I have read and understood this opt-out request. I acknowledge that my decision is voluntary and that Help Exec will process my request in accordance with all applicable laws and regulations.

If you have any questions regarding this consent form, please contact us at [email protected]