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I agree that I’m signing my authorization to Elite Aesthetics to call, text, email or send voice mail transmissions using an automated system to the email and cell phone number I’ve provided on this form. I UNDERSTAND THAT I AM NOT REQUIRED TO PROVIDE SUCH AUTHORIZATION AS A CONDITION OF PURCHASING ANY PROPERTY, GOODS, OR SERVICES.

On promotions, events, educational webinars & special offers, we will limit such text messages and email to (3) or fewer messages per month & patients can opt-out anytime they choose. Please check with your carrier as message and data rates may apply. We respect your privacy and no other vendors will ever be provided access to your information. Please confirm by checking off the correct box. Patients selecting “NO” will be added to our do not text or email list.