VEU Customer Consent Form
Instructions
This template is provided as a guide and can be used as the basis for an online form. Please update the sections with your details prior to sending to customers.
This form is available as a Microsoft Form Template here: VEU Customer Consent Form TEMPLATE
Delete this section prior to sending the form
To receive a phone call with more information about the VEU activities from INSERT YOUR COMPANY NAME, please provide your contact details here:
| First Name | ||
| Last Name | ||
| Date | ||
| ☐ Residential ☐ Business | ||
| If a business customer, | ||
| Business Name | ||
| Position | ||
| I consent to you contacting: | ☐ Me ☐ any member of staff who answers the phone ☐ Other: | |
| Phone | ||
| I am over 18 year of age | ☐ Yes ☐ No | |
| I need an interpreter: | ☐ Yes, Language: | ☐ No |
| I need support to understand and agree to contracts: | ☐ Yes ☐ No | |
| I consent to being telephoned to be provided information about: | Heat Pump Water Heaters: ☐ Yes ☐ No Air Conditioners: ☐ Yes ☐ No | |
| I understand that my consent lasts for 3 months, but I can withdraw my consent at any time | ☐ Yes ☐ No |
