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By filling out this consent form, you are aware of the many risks of transmitting sensitive data by email. The Town of Rosetown will use reasonable means to protect the security and confidentiality of e-mail information sent and received. However, because of the risks, the Town of Rosetown will not guarantee the security and confidentiality of e-mail communication, and will not be liable for improper disclosure of confidential information. For this reason, your consent to the use of e-mail for delivery of municipal notices is required. Consent to the use of e-mail for the delivery of municipal notices includes agreement with: 1) Failure to receive an e-mailed municipal notice does not release me from my responsibility to pay any charges specified on the notice, or any penalties which may be incurred by late payment. 2) I will inform the Town of Rosetown of any change in my e-mail address as soon as possible, to prevent the misdirection of notices and reduce the risk of my not receiving a notice. 3) I may withdraw from e-mail delivery at any time. To do so, I will inform the Town of Rosetown, and all future notices will be sent by regular mail.
Please include both your box number and street address
Please type the email in which you consent to receive e-communication from the Town of Rosetown
By checking the "I agree" box below, you agree and acknowledge the aforementioned risks, and that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.
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