Withdrawal Consent Form - New York Skin Solutions

New York Skin Solutions Withdrawal Consent Form

Withdrawal Consent Form

*I wish to formally withdraw my consent for the use or disclosure of my personal information by the Company for any future marketing and for promotional purposes via (please select only those you wish to withdraw consent for):
Telephone CallSMS (includes all mobile messaging apps, example: WhatsApp, WeChat, Line & etc)Email
*Reasons for withdrawing:
Treatment duration (2.5hrs) is too longTreatment location is inconvenientNegative reviewsI've never signed up for any promotion
*Type in the following characters for verification:
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