I consent to Wave Cigarettes' use and reliance on my electronic signature to verify
the information that I have provided herein. I confirm that I am a smoker 21 years
of age or older and grant permission to verify my age and understand that providing
false information may be a violation of law. I agree and wish to receive communication
about Wave Cigarettes by U.S. Mail and/or by email.
I may withdraw this consent at any time by calling 1-866-928-WAVE, at www.wavecigarettes.com
under Profile, or by sending us a letter to the following address:
PFC
Attn: Wave
P.O. Box 5444
Clinton, IA 52736
Enter your first and last name below to signify agreement to the above (PLEASE NOTE:
name must be identical to name listed above). Typing your name in this box is pursuant
to the Federal Electronic Signature Law (section 1), which sets out the legal framework
governing the creation and use of electronic signatures and the provision of signature
and certification services.