Proof of Consent for Collecting customer information.
Customer Information & Payment Consent Notice
Effective Date: [8/10/25]
Business Name: [ Clean Green Hauling] 1. Purpose of Consent
By checking the box at the bottom of this notice, you authorize [Clean Green Hauling] to collect, store, and use your personal and payment information solely for the purpose of processing payments, maintaining customer records, and providing requested services. 2. Information We Collect
We may collect the following information from you:
Full name
Billing and service address
Phone number and email address
Credit card details (card number, expiration date, CVV, and billing zip code)
Other service-related information voluntarily provided 3. How We Use Your Information
Your information will only be used for:
Processing payments securely through PCI-compliant systems
Scheduling and fulfilling your requested services
Maintaining accurate billing and service history
Contacting you about your account, invoices, or customer support needs 4. Security and Privacy
All credit card information is processed and stored securely in accordance with PCI-DSS standards.
We do not sell, lease, or share your personal information with third parties except as required by law or necessary for payment processing. 5. Your Rights
You have the right to:
Request access to the information we hold about you
Request corrections to your information
Withdraw consent at any time, provided all outstanding balances are paid and services already rendered are not affected
6. Acknowledgment
By checking the box, you confirm that you have read, understood, and agree to the collection and use of your personal and payment information as outlined above. ⚠️ Disclaimer: This notice is provided for informational purposes only and does not constitute legal advice. Please consult with a licensed attorney to confirm compliance with applicable state, federal, and industry regulations (including PCI-DSS).