Member Notification Authorization Form

JACKSON COUNTY RURAL ELECTRIC MEMBERSHIP CORPORATION
 Member Notification Authorization Form

I hereby authorize Jackson County Rural Electric Membership Corporation (REMC) to deliver or cause to be delivered, automated or autodialed prerecorded calls, text messages, emails, and/or any other form of automated written or audible notifications to the cell phone number and/or email address identified below. I understand that such notifications may relay information regarding my REMC account(s). I understand that I can opt-out from receiving such notifications at any time. I further understand that I am not required to provide consent, directly or indirectly, as a condition of purchasing any property, goods, or services. I affirm that the information provided below is correct and that I am the responsible party for the telephone and/or email accounts listed. I understand any voice, text, or data costs incurred are my responsibility and agree to notify REMC immediately in the event that I voluntarily or involuntarily relinquish any of the phone numbers or contact information identified below. I acknowledge that notifications may or may not be received for a variety of reasons with no guarantee timely notifications will be received. I further acknowledge whether or not notifications are received to hold REMC harmless from any liability for injuries, damages, or costs that might result from failure to receive notifications.