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Safe Streets USA LLC Express Written Consent Form MARKETING AUTHORIZATION: I, the undersigned, hereby authorize Safe Streets USA, LLC (“Safe Streets”), directly or through its affiliates and marketing partners, to contact me from time-to-time by telephone, text, email and/or direct mail with information and offers about products and services that might interest me. By clicking contact me below, I hereby authorize the receipt of such solicitations at the telephone number(s), (including cellular numbers), emails address(es) and/or mailing address(es) shown below, even if such telephone number(s), email address(es) or mailing addresses are listed on any “do not call” or other do not solicit registry or list and I agree that any such telephone calls and text messages may be generated using an automated phone dialing system. To discontinue or opt out of text messages reply with stop. I understand I am not required to consent to make a purchase.

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Safe Streets USA LLC Express Written Consent Form MARKETING AUTHORIZATION: I, the undersigned, hereby authorize Safe Streets USA, LLC (“Safe Streets”), directly or through its affiliates and marketing partners, to contact me from time-to-time by telephone, text, email and/or direct mail with information and offers about products and services that might interest me. By clicking contact me below, I hereby authorize the receipt of such solicitations at the telephone number(s), (including cellular numbers), emails address(es) and/or mailing address(es) shown below, even if such telephone number(s), email address(es) or mailing addresses are listed on any “do not call” or other do not solicit registry or list and I agree that any such telephone calls and text messages may be generated using an automated phone dialing system. To discontinue or opt out of text messages reply with stop. I understand I am not required to consent to make a purchase.

Name*

Phone*

Zip*

Email*

Safe Streets USA LLC Express Written Consent Form MARKETING AUTHORIZATION: I, the undersigned, hereby authorize Safe Streets USA, LLC (“Safe Streets”), directly or through its affiliates and marketing partners, to contact me from time-to-time by telephone, text, email and/or direct mail with information and offers about products and services that might interest me. By clicking contact me below, I hereby authorize the receipt of such solicitations at the telephone number(s), (including cellular numbers), emails address(es) and/or mailing address(es) shown below, even if such telephone number(s), email address(es) or mailing addresses are listed on any “do not call” or other do not solicit registry or list and I agree that any such telephone calls and text messages may be generated using an automated phone dialing system. To discontinue or opt out of text messages reply with stop. I understand I am not required to consent to make a purchase.