So that we at MS SEDCO may comply with Federal Communications Commission rules, we ask that you complete and submit this electronic Fax and E-mail Permission Form to us as soon as possible. Thank you.

FAX & E-MAIL PERMISSION FORM

1. I hereby provide permission for MS SEDCO to communicate with my company via fax and/or e-mail. Such communications may be related to products, promotions, RMAs, pricing quotes, pricing lists, sweepstakes offers, special offers, company and/or industry news, credit applications, and other matters as required in the course of doing business.

2. I AM AUTHORIZED TO PROVIDE SUCH CONSENT.

3. Should I or my company wish to stop receiving fax or e-mail information from MS SEDCO, I agree that I or another company representative will notify MS SEDCO.

I agree with the above statements.

Submitting your name and other information below will constitute an electronic signature affirming your agreement.

Name:

 
Company:

 
Fax Number:

 
E-mail Address:

Address (optional):
 
Additional Authorized Recipients:
The additional fax numbers, e-mail addresses, and/or names of person(s) or departments listed below are additionally authorized to receive information via fax and/or e-mail from MS SEDCO.
 
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