Fundraising Events POPIA Consent

CONSENT OF A DATA SUBJECT FOR THE PROCESSING OF PERSONAL INFORMATION IN TERMS OF SECTION 69(2) OF THE PROTECTION OF PERSONAL INFORMATION ACT, 2013 (ACT NO.4 OF 2013) REGULATION 6, FORM 4 RELATING TO THE PROTECTION OF PERSONAL INFORMATION, 2018.

In terms of the POPIA legislation, consent must be obtained directly from you, your consent must be specific, the record of your information must be complete and your consent must be signed. You have the right to withdraw your consent at any time. You can access our data protection policy here:

https://capespca.co.za/data-protection-policy/

New SupporterExisting Donor

Full Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityProvince

Postal Code

Phone Number:*

Format: (000) 000-0000.

E-mail*

example@example.com

I,   First Name   Last Name   , hereby give my consent for the Cape of Good Hope SPCA to use my personal information for the purposes of:

Issuing Section 18A Tax Receipts
Sending mail appeals by post
Sending of mail appeals and newsletters electronically
Contacting me by telephone or sms for animal welfare related matters*

Date*

Date

By signing this form you accept the terms and conditions of our Consent agreement and Data protection policy which outlines the processing of your data (available/can be viewed at our offices or on our website: https://capespca.co.za/data-protection-policy/)

Signature:*

Signature*