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Direct Sample Arrangement Authorisation
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Company Name:
*
Account Number:
*
Contact Name:
*
First
Last
Email
*
Confirmation
*
By ticking this box and submitting this form, you confirm that you have obtained the appropriate consent from your client to provide us with their personal data to our company. To facilitate posting the samples, we also need to share their details with our delivery service partner to be used solely for the purpose of delivery. It is the responsibility of the reseller to fully understand our data handling policy and have obtained the necessary consent from the customer who wishes to receive samples that we facilitate. You must obtain consent from your client if you wish to provide us with a telephone number and/or email address as some services will notify you via mobile and/or email regarding the status of the parcel. If your customer only consents to receive the sample but not the status update of the delivery, please do not supply us with their telephone number/email or any personal information alike.
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Doc/TXNL/DSAU
