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Telephone Communication Opt-Out Form
Name
*
First Name
*
Last Name
*
Primary Phone
*
Phone Type 1
*
Wireless
Landline
Secondary Phone (if desired)
Phone Type 2
Wireless
Landline
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Phone Type 3
Wireless
Landline
Opt Out
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I am opting out of receiving telemarketing communications sent by an automatic telephone dialing system or using an artificial or prerecorded voice. I am aware that I may still receive informational communications (including informational SMS text messages) from or on behalf of Bethpage regarding important information about my Bethpage account(s).
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