Consultation on Life Crisis

Application for the Consultation on Life Crisis

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Private Setting	Public Private
Security Code	Your password must be alphanumeric characters with no space. (case sensitive)
Collection and use of personal information ("Privacy Policy")	Privacy Policy Purpose of Collection and Use Personal information is collected and used for delivery of service and implementation of the contract, for purchase and payment, delivery of goods or billing notices, and management of membership. Information to be collected Name, Address, Phone number, Email address etc. Period of Retention of Personal Information All personal information is disposed of by the company without exception after the purpose of collection and use has been fulfilled. I have read and agree to the privacy policy. Yes No