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By submitting this form, I hereby solemnly attest, affirm, and certify under penalty of perjury that I am a real, living natural person acting on my own behalf and not a bot, script, automated system, or any third party. I further certify that I am a legitimate current or former customer of the business or otherwise possess a lawful preexisting relationship that authorizes this communication. I expressly declare that I am not submitting this form to transmit, facilitate, or promote any unsolicited commercial messages, spam, marketing, or any other form of electronic communication in violation of the Telephone Consumer Protection Act (TCPA), the CAN-SPAM Act of 2003, any state anti-spam statutes, or any other applicable federal, state, or international laws. I understand and acknowledge that any false statement, misrepresentation, or misuse of this form may expose me to civil liability, statutory damages, fines, and potential criminal penalties under applicable law.
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