Streamtech Form

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CONSENT FORM INFORMATION NAME: CONTACT NUMBER/S: EMAIL ADDRESS: ADDRESS (subivision/B1k./Lot/city/Province)? BIRTH DATE: | hereby consent to the collection, use, storage, processing by Streamtech of all the personal information given herein for the purpose of processing this application. | further agree that this personal information may be stored, disclosed, or shared by Streamtech to its related entities or corporations, and to allow them to communicate with me through telephone, email, SMS or mail regarding their respective products, events and promotions. Attached herewith is my valid ID for reference SIGNATURE DATE @@ estreamtecinternet GB www.streamtech.comph Q STREAMTECH

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