CLIENT CONSENT FORM
Authorization to Transfer Contact & Account Information

I, [Client Full Name], authorize [Seller Business Name] to share my name,
contact information, and account/service history with [Buyer Name / New
Company Name] for the purpose of continuing my internet marketing
services without interruption.

PLEASE SELECT ONE:
[ ] Yes, I authorize the transfer of my information as described above.
[ ] No, I do not authorize this transfer.

CLIENT INFORMATION
Name: ____________________________________
Email: ____________________________________
Phone: ____________________________________

SIGNATURE
Signature: ____________________________________
Date: ____________________________________

Thank you for taking a moment to complete this — it’s the only step
needed to keep your services running smoothly.