e property button Consent Form Email: support@propertybutton.ie Property Address: || Shackelton =f Luce, Dull Unit/House No: Address Line 1 AddeessLine2: CityrTown: [choose County Eircode: Eee koe Please tick services required: Electricity Dual Fuet corn: | Gas reading: Priority Services: lect supple maletan a regster for customers who are Critally dependent on electric! equipment in thelr home Please indicate this apples at this property Date of Readings: fui] He Rede keane aera { consent to Residential Utilty Management Ltd t/a Property Button ("Property Button") putting the electricity and/or gat (if applicable into my name with one ofthe listed suppliers using the detalls et out n ths form understand that (1) 13m responsible fr the usage charges fram the stated moter readings on this forms (2) wileeesive the suppliers detalled terms of service by postlemais[) Icon cancel the contract with the supper Within’ 14 “calendar” days: (4) I 3. prelerred. supplier is not indieted, | autherze Property Button to Valse with the current. supplier (where possible) to ensure that 2 non-fined term account le set up correct undor my name; (5) lunderstand tat Property Button wil senda wnigue login via SMS and email to access the Property Button portal () Property Button may contact me to provide asslstance in vetting up my Eletric Gas and other ilies where apolicable; (7) Lundorstané that 1 must all the Dept. of Socal Protection to transfer my elecrkity and/or qa allowances (if applicable) (8) Tunderstand that if there are any existing ateeats with my previous supplier, the supplier may decline my request for upoly Property Button manages the supplier account registration on your behalf and is the data controller in respect of the prsonaldata that we ‘obtain trom ‘you. Property Button requires the Information ‘above so. that ‘an energy secount. may Be set up ‘on Your. behalt vil ‘the supplier. Property Button will use the data provided for_the purpose of signing yout tothe services you requested via the supplier's sles suppor systems, particularly to ensure thatthe agreed meter readings are sed. Property Button may ano use Your Information In the manner set fut in our privacy policy at hitps//propertybuttonle/privscy-plicy/ Al queries In respect cf the formation’ we hold cbout "you should be Airected toData_ Protection Enquiries, Property Button, Boulevard “Centre, Quineborough Rose, Bray, Co. Wiehlon. You have a right of C2255 (0 Your persenal data and » right to rectiy Wf ft fe Inaccurate or proceseed unary ‘The suplir is a data controller in respectof the information that we give to itn order to reister your account. This will Include the infomation set ‘ut above. The privacy policy for each suppliers avallable on their respective websiter and ie provided te you by the supplier as 2 part of thee registration process fates To ce Scie] maid ein Cee eer _ Rew eenerSinatare Nw Occupier Name (ck pts) bate eaten @ ees Sa ore er)