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E-SIGN NOTICE DISCLOSURE

This E-Sign Notice Disclosure asks for your consent in order for the Medical Business Bureau, Inc. to provide you with communications and records in electronic form rather than in paper form. If you have any questions about receiving information in electronic form, please feel free to contact us at (800) 828-3543. You can elect to withdraw your consent to receive Electronic Communications at any time by contacting our us at (800) 828-3543 during our business hours. You are not charged a fee to withdraw your consent. The legal validity and enforceability of prior electronic transactions and services will not be affected if you withdraw your consent.

There are certain hardware and software requirements for you to be able to access or retain the above stated electronic records (“Electronic Records”). Your device requirements are as follows:

  • Must have an active E-mail Address
  • An Internet Service Provider selected by you;
  • Internet browser such as Internet Explorer or Google Chrome. (Cookies and JavaScript must be enabled.);
  • A computer/tablet/mobile device with an operating system capable of supporting the above
  • Adobe Acrobat Reader. (For a free copy of Adobe Reader, go to www.adobe.com.)
  • A personal computer/tablet/mobile device, operating system and telecommunications connections to the Internet capable of receiving, accessing, displaying, and either printing or storing, communications received in electronic form from us.

You are responsible for configuring your device to accommodate the above requirements and keeping your e-mail address current with us. To notify us of a change in your email address, please contact us at (800) 828-3543 or visit at us our website at https://PayMBB.123fastpay.com

By providing your information on the following pages, you acknowledge you have received these disclosures and consent to receive additional electronic communications. You may also request a paper copy of these disclosures by contacting our office.

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