Electronic Consent Form

ELECTRONIC COMMUNICATIONS CONSENT AND E-SIGN

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

We are pleased to offer you the opportunity to receive information about your account through electronic communications.  If you would like to receive correspondence and documents concerning your account from us via email, instead of paper copies through the mail, please review this notice and provide your consent. This E-Sign Consent and Disclosure Form applies to all communications for account(s) that you may receive from Aargon Agency, Inc. regarding your account(s) that have been placed for collection with Aargon Agency, Inc., except as otherwise prohibited by law.

Please read this Federal Electronic Signatures in Global and National Commerce Act (“E-SIGN”) Consent and Disclosure Form carefully.  A copy of this consent form, affirming your consent to the electronic delivery of any disclosures, agreements, change notices, changes to the terms and conditions of your account and any other documents or notices (collectively, the “Documents”) that we may provide to you regarding your account, will be emailed to the address you provide below. 

You have the right to request a paper copy of Documents, however, we may not provide you with paper (non-electronic) copies of any documents unless specifically requested by you.  You will not be charged a fee for any paper copies requested.  

Please note that agreement to this E-Sign Consent and Disclosure will not result in enrollment in paperless statements.

Definitions
The words “we”, “us”, and “our” refer to Aargon Agency, Inc.  and the words “you” and “your” refer to you, the consumer responsible for an account(s) and your authorized agents.  

“Account” means the account(s) in your name that has been placed with Aargon Agency, Inc. for collection.
  
“Electronic signature” means symbols or other data in digital form attached to an electronically transmitted document as verification of the sender’s intent to sign the document.

Communications to be provided in Electronic Form:
By consenting to this agreement, you agree that Aargon Agency, Inc. may provide you with any communications that we may choose to make available in electronic format, to the extent provided by law, and that we may discontinue sending paper communications to you, unless and until you withdraw your consent as described below.  Your consent to receive electronic communications and transactions includes, but is not limited to: 
• Any communication concerning the status of your account(s) that has been placed with Aargon Agency, Inc. for collection.
• All legal and regulatory disclosures and communications associated with your account(s).
• Notices or disclosures about a change in the terms of your account(s) or associated payment arrangements.
• Privacy policies and notices.
• Monthly (or other periodic) billing or account statements for your account(s) or other communications concerning your account(s).

We also need your consent to use electronic signatures in our relationship with you.

Method of Providing Communications to You in Electronic Form:
All communications that we provide to you in electronic form will be provided either (1) via e-mail; (2) by access to a web site that we will designate in an e-mail notice that we send to you at the time the information is available, (3) to the extent permissible by law, by access to a web site that we will generally designate in advance for such purpose, or (4) by requesting you download a PDF file containing the communication.

How to Withdraw Consent:
You may withdraw your consent to receive electronic communications at any time by calling us at 1-800-326-7118, or by clicking HERE to go to the Electronic Consent Withdrawl Form page.

Consumers have the right to withdraw their consent to delivery of all communications in electronic form for any of their accounts, which may include payment arrangements, account status, account information, terms and conditions, notices, disclosures and any and all other documents.  Withdrawal of consent will be applicable to not only a single transaction but will apply to all electronic information including payment arrangements, account status, account information, terms and conditions, notices, disclosures and any and all other documents.

At our option, we may treat your provision of an invalid email address, or the subsequent malfunction of a previously valid e-mail address, as a withdrawal of your consent to receive electronic communications. You will not be charged any fee to process the withdrawal of your consent to receive electronic communications. Any withdraw of your consent to receive electronic communications will be effective only after we have had a reasonable period of time to act on your notice of withdraw.

How To Update Your Contact Information:
It is your responsibility to provide us with a true, accurate and complete e-mail address and other contact information, and to promptly provide us with any updates to your contact information. You may provide updated contact information to us by calling 1-800-326-7118 or emailing us at info@aargon.com

Communications in Writing:
All communications that we send to you in either electronic or paper format will be considered to be communications “in writing”, and you should print or download copies of all such communications, including this Consent form, for your personal records. A copy of this consent form will be emaild to the address you provide.

Federal Law:
You further acknowledge and agree that your consent to electronic communications is being provided in connection with a transaction affecting interstate commerce that is subject to the federal Electronic Signatures in Global and National Commerce Act (E-Sign Act – 15 U.S.C. §§ 7001 – 7006), and that the E-Sign Act shall apply to the fullest extent possible to validate our ability to conduct business with you via electronic communications.

System Requirements to Access Information:
To access, receive, and sign electronic copies of Documents you must have the following equipment and software:
• A personal computer or other device that is capable of accessing the Internet. 
• An Internet web browser capable of supporting 128-bit SSL encrypted communications, which requires the most current web browser version of Microsoft® Internet Explorer (available for downloading at http://www.microsoft.com/windows/ie/downloads/default.asp) and your system or device must have 128-bit SSL encryption software.  

Consent & Electronic Signature:
By entering your information and clicking on the “Submit” button below, you are providing us with your affirmative consent to use electronic signatures and to use and receive electronic records and communications. By providing your consent, you further agree that your computer system satisfies the hardware and software requirements specified in the above E-Sign Disclosure and Consent form, and that you have provided us with your current email address so that we may send you electronic communications.

* Required Fields

Aargon Agency, Inc.

Nationwide Debt Collection Agency

NEVADA • HAWAII • FLORIDA • COLORADO • MISSOURI

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