PERMISSION FORM
My name is:
________________________________________________ (please print)
I give my permission for my child:
_____________________________________________ (child's name)
To enroll as a member on the eMerchandise.com retail site,
and give personal information to The eMarket Group, Ltd.
I can be reached via phone to confirm my consent at:
(_______) _______________________.
I can be reached via e-mail to confirm my consent at
_________________________________________.
I granted this permission on (date):
______________, by my signature (please sign):
_________________________________. |