AGREEMENT TYPE: Channel Specific Subscription Agreement

EFFECTIVE: January 1, 1970

The MS Society collects the personal information requested on this form for the purpose of communicating to you information about the MS Society, its programs, services and fundraising activities. By clicking “Subscribe” below, you hereby consent to the collection, use and disclosure by the MS Society of your personal information in accordance with the MS Society privacy policy. Note that you may opt out of communications from the MS Society at any time. If you have any questions about your personal information, please contact our Privacy Officer at 1-800-268-7582. A copy of our privacy policy may be obtained at any MS Society office or at

By clicking “Subscribe” below, I provide my signature expressly authorizing Vekeo to call me or send me information about MS Society events, their events, access to exclusive content or special opportunities via automated or prerecorded calls, text messages or emails to my telephone number and email address that I entered above. I also agree to the Terms of Use and Privacy Statement. I understand that I am not required to enter into this agreement in order to purchase any goods or services, that message and data rates may apply from my wireless carrier, and that I can revoke this authorization by following the instructions in the “Opt Out” section of the Privacy Statement.