Company Name:

MJ Supplies and Printing

Business Address:

2675 Cleveland Ave #5, Santa Rosa, CA 95403

Website:

https://www.mjsuppliesprinting.com

Email:

[email protected]

Purpose of Collection:

Lead generation, customer inquiries, service updates, marketing communications related to office, school, hospital, and business equipment solutions.

Date and Time of Opt-In:

[Dynamic field from your system: ]

Source of Opt-In:

https://www.mjsuppliesprinting.com/contact

(or specific landing page URL if applicable)

Method of Opt-In:

Website contact form submission through embedded form

Consent Text Displayed at Opt-In:

“By submitting this form, you agree to receive communications from MJ Supplies and Printing, including updates, special offers, and service information. We respect your privacy, and you can unsubscribe at any time. For more details, please review our Privacy Policy and Terms & Conditions.”

Checkbox (required before submission):

Data Captured at Opt-In:

Full NameEmail AddressPhone Number (if provided)IP Address: [Dynamic field from system: ]Timestamp of SubmissionConsent Checkbox Selection: “Checked”Version of Privacy Policy: [Insert version or last updated date]

CRM Contact ID:

[Dynamic field: ]

Visual Proof: