Consent Form

Certain organisations require proof that you are content for them to discuss the specifics of a case with an MSP. This form confirms that you are happy for the organisation mentioned to release information pertaining to your case to Graeme Dey, the Member of the Scottish Parliament for Angus South Constituency.

Your name

Organisation(s) to be contacted

Your email

Your Address

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[signature* Signature id:signature 555x222]

Date of signature

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