CONSENT FORM FOR TEXT MESSAGING NOTIFICATIONS

I give permission consent to receive text messages from the Northern District Dental Society (NDDS). As part of this consent, you represent and warrant the following:

1. Northern District Dental Society may send text messages in various formats and with various contents, including but not limited to, text messages about event reminders.
2. You are the owner or authorized user of the mobile phone number identified below. You will notify us immediately if you are no longer the owner or authorized user of the mobile phone number identified below.
3. You are solely responsible for any message and data charges associated with such text messages.

If you do not wish to receive text messages from the Northern District Dental Society (NDDS), you should not accept this form.