Authorization for the Evergreen Co-operative Association to Send Emails

Authorization for the Evergreen Co-operative Association to Send Emails

Evergreen Co-operative Association
The Evergreen Co-operative Association (ECA) can provide a number of notifications, forms and statements via email and with this form you can choose the items you authorize the ECA to send to the email addresses you specify below. All information is protected according to PIPEDA.
Membership Name*
Membership Number*
Provide up to 3 email addresses to which authorize the ECA to send emails as chosen below:
Email 1*
Email 2
Email 3
Authorize the ECA to send to the address(es) above the following types of emails (choose one or all) by checking the box immediately to the left of the description of the preferred email content.*

Monthly Statements of Account - Including supporting Petroleum documents (Bulk Fuel & Cardlock). You will no longer receive your statements via Canada Post.Receive Invoice Copies via Email where applicable.Newsletters, Event Notices, Notice of AGM, Flyers, Board of Director NewsSurveys, Contests & Coupons
You will only receive statements when you have a charge account

The ECA emails will be sent from AccountsReceivable@Evergreen.crs, and it is critical that all email recipients are aware of this email and mark this address as a trusted sender in their email program.
By your signature below you acknowledge you have read and understood all aspects of this document and have made all those associated with the email addresses above aware of these terms.
Signature*

Powered by Jotform SignClear
MonthDayYear
Should be Empty: