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This communication is from a debt collector. This is an attempt to collect a debt. Any information obtained will be used for that purpose. 

Please contact us by completing the form below or calling our Consumer Relations Help Desk at 815-.672-3176.

I am authorizing Creditors’ Discount & Audit Company (CDA) to send me any and all communications electronically (“Electronic Communications”). Electronic Communications includes e-mail, current and future notices and/or disclosures that may be required by law, correspondence, statements and other communications regarding any account placed (now or in the future) with CDA.

I am acknowledging receipt of this Electronic Communication Consent form, my intent to be bound by the terms of this form and that I am signing this form electronically.

I am acknowledging that Electronic Communications: (a) can be intercepted, altered, forwarded or used without authorization or detection, (b) can be circulated, forwarded and stored in paper and electronic files, and (c) may be lost due to technical failure during composition, transmission or storage.

I am not providing CDA with an e-mail address provided to me by my employer or related in any manner to my workplace or place of employment. I am acknowledging that I do not have a reasonable expectation of privacy in an e-mail address associated in any way with my employment. I am also acknowledging that I am aware of who else in my household may intercept Electronic Communications (for example, family members and roommates) and I have taken all precautions to eliminate others from accessing my Electronic Communications.

I am authorizing CDA to transmit Electronic Communications to the e-mail address I provide to CDA and to include the following in the Electronic Communications: In the “To” line of the email: Your name or other individual identifying information In the “From” line of the email: State Collection Service, Inc. or CDA In the “Subject” line of the email: An account number or other identifying information.

I am acknowledging I have been informed of the following: The right to receive a paper version of an Electronic Communication. I may obtain a paper version by contacting CDA at 815-672-3176.  The right to withdraw consent to receive Electronic Communications. I may withdraw my consent by contacting CDA at 815-672-3176 or by “unsubscribing” in an email sent to me This consent is a continuing consent to CDA to send me Electronic Communications.

I may update my electronic address by contacting CDA at 815-672-3176.  I must ensure that I can receive Electronic Communications and retain it. I have a computer system with an Internet Web browser capable of 128-bit encryption and Adobe Acrobat Reader. I have a printer capable of printing any Electronic Communication emailed to me and/or have the ability to electronically save and display on computer screens Electronic Communications. I may receive a notification from CDA that I have a secure email message; that I will be required to create an account to access an Electronic Communication; and, if I fail to create an account, I may not receive a response. Agreement Version 1.1 April 01, 2012

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