Komen OC Opt-in Form

Did you know that 1 in 8 women will be diagnosed with breast cancer in her lifetime? Every woman is at risk for breast cancer—a disease that strikes at random and for which the causes and cures are still unknown.Early detection is your best protection! Sign up today to receive a reminder each month to be aware of your breast health, and be sure to tell your friends to do the same. This is a free service brought to you by the Orange County Affiliate of Susan G. Komen for the Cure.

You can select to receive a text message reminder on your mobile phone, or a pre-recorded voice message reminder on your home, work, or mobile phone - or select both!

SPAM?
Don't worry - it's not SPAM. We will send you a reminder once a month, and you won’t receive more than two reminders each month that relate to breast health and special events.

COST?
We won't charge you anything for the reminders. Depending on your phone plan, you may have messaging charges - those charges from your phone company do apply.

EASY TO OPT-OUT
At any time you can opt-out by calling 800.420.6513, visiting this website, or texting the word "KOUT" to 23705.

SPREAD THE NEWS
Help us save lives and end breast cancer forever. Tell all of your friends and family about Komen for the Cure, or send them a link to this page: www.expressconsent.com/komenoc

Please enter the following information and select the “Opt-in” button if you are signing up, or the “Opt-out” button if you no longer wish to receive these monthly reminders. We need your zip code so that we know what time zone you are most likely to be in and not to deliver messages too early or too late in the day.


Personal Information
Please provide the following requested information
Postal/Zip Code

Preferences
Let us know how you would like to hear about health reminders, events, promotions and news from us! You can select one or more of the forms of communications below and choose “opt-in” to begin receiving correspondence from us at the contact number you provide. You may discontinue the receipt of future correspondence at any time by entering your contact number and selecting “opt-out”.
		Opt-In/Opt-Out
Prerecorded Messages
Receive telephone calls featuring short, prerecorded messages that let you hear about health reminders, events, news and promotions.
Phone Number
Text Messages
Receive text messages sent to your mobile phone with health reminders, alerts, news and promotions.
Phone Number


By clicking "Submit", you agree the collection, use and disclosure of your personal information you submit is governed by our Privacy Policy and the Terms and Conditions associated with the use of this website, and by any consent that you provide to use your personal information in accordance with the same.
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