SMART | CONVENIENCE | SAFE Consent Form Community / Organization Information Name Registration No. Address Telephone No. Email Number of Members Representative Information Name Telephone No. Position By submitting this form, we hereby declare and understand that: * We agree to participate and enroll to ParadiseLinx Community Program. * We agree to furnish our relevant information as may be required for registration purposes * We have understood and are aware of the benefits, features, terms and conditions of this program. * Any benefits, features, terms and conditions of this program may change, update or cancel from time to time as appropriate. Submit
