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CONSENT TO USE OF ELECTRONIC TRANSMISSIONS
BY MEMBER OF INTERNATIONAL TRANSACTIONAL ANALYSIS ASSOCIATION,
A CALIFORNIA NONPROFIT CORPORATION

In accordance with California Corporations Code §§20 and 5079 and Article3, Section 8 of the Bylaws of this Corporation, the undersigned hereby agrees to the following:

1. The Corporation may send meeting notices, annual reports, and all other materials to me by electronic transmission at the email address listed below.

2. The Corporation may rely on communications sent by me to the corporation by electronic transmission from the email address or facsimile number listed below for any purposes, including action by written consent. I hereby certify that the corporation may reasonably conclude that I am the author of communications so sent.

Electronic transmissions may be sent by email as follows and received by email or facsimile as follows:

By email: _________________________________ [member’s email address]

By facsimile: _________________________________ [member’s fax number]

3. I acknowledge that I have the right to have any communication transmitted to me electronically that is provided or made available by ITAA in paper or other non-electronic form.

4. I understand that this consent may be withdrawn only by my submitting a tangible, non-electronic written notice of revocation of this consent, dated and signed by me, to the Corporation at the following address:


International Transactional Analysis Association, Inc.
2843 Hopyard Road, Suite 155
Pleasanton, CA 94588of America,

Attention: Corporate Secretary.

 

Any notice of revocation shall specify the effective date and a duplicate may also be sent to the Corporation’s facsimile at: 1 925 600 8112, so long as the tangible, non-electronic original signed copy is also delivered to the Corporation promptly.

This consent shall remain in full force and effect until I revoke it in writing and so notify the corporation in the manner specified above.


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Date: _____________________
Member’s Signature

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Member’s Name

 

Member’s
Mailing Address:
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