Document Upload

Purpose of Documents

Affordable Interlock Systems Pty Ltd from time to time needs to view and validate participant documents to assist in either the registration, support or removal process.

Privacy Statement

Affordable Interlock Systems privacy statement can be viewed at www.affordableinterlocks.com.au

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Please Confirm the Following by Ticking the Box

I Understand That:

This consent, once signed, remains valid while I am a customer of Affordable Interlock Systems Pty Ltd unless I withdraw it by contacting Affordable Interlock Systems Pty Ltd or the agency *

First Name *

Last Name *

Email Address *

Vehicle Registration Number *

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Date

Save and Complete Later

AIS-NET-O-005

02MAR2021 V1.0