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*In accordance with the European regulation on the protection of personal data of 27 April 2016 (OJ EU L no. 119), I consent to the processing by Blackbird Sp. z o.o., with its registered office in Żyrardów at ul. Okrzei 53A/38, 96-300 Żyrardów, of my personal data in the form of my first name and surname, the name of my facility/practice, contact telephone number and e-mail address, as well as my postal address, for marketing purposes, through the sending of commercial information in the field of medicine and pharmacy offered by the contractors and business partners of Blackbird Sp. z o.o., pursuant to Article 6(1) of the GDPR. These data may be transferred to systems reporting the organisation of visits connected with pharmaceutical activity. Further information on the processing of personal data can be found in our company's privacy policy, available at www.*

*I declare that I provide my data voluntarily and that I have been informed of my right to access, request amendment, rectification and deletion of my data, restriction of processing or data portability, cessation of data processing, objection to processing, withdrawal of consent or lodging a complaint with the supervisory authority*

*I consent to receiving from Blackbird Sp. z o.o. and its contractors, as well as its associates, by electronic means to my e-mail address and also by traditional post, commercial information concerning the products and services offered by Blackbird Sp. z o.o. within the meaning of the Act of 18 July 2002 on the provision of services by electronic means.*

*I consent to Blackbird Sp. z o.o. and its contractors and associates sending content concerning the offer of Blackbird Sp. z o.o. and its contractors to my telephone number, including by means of text messages and using automated calling systems, within the meaning of the Telecommunications Act of 16 July 2004.*