* Your name

*Phone number

*E-mail

* Date of Birth

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[acceptance acceptance* id:acceptance class:acceptance]I authorize the use of the above email for all AMC Group marketing communication. I understand that i will be receiving emails from AMC Group from time to time with special offers, events, new services introductions. I understand that my email shall be kept in the AMC Group database for 3 years, unless i personally request to delete the above email from the AMC Group database.[/acceptance]

* Your name

*Phone number

*E-mail

I authorize the use of the above email for all AMC Group marketing communication. I understand that i will be receiving emails from AMC Group from time to time with special offers, events, new services introductions. I understand that my email shall be kept in the AMC Group database for 3 years, unless i personally request to delete the above email from the AMC Group database.