I consent to Northbridge General Insurance Corporation’s (the underwriter of Trushield Insurance insurance policies)(“Trushield Insurance”) collection and use of my payment information, including my credit number, credit card security code, name on my credit card, and expiration date, for the purpose of processing recurring payments of my insurance premium in accordance with my billing notice. I also consent to my payment information being stored by Trushield Insurance or third parties acting on its behalf for this purpose, and to my payment information being provided to the credit card processing company. Trushield Insurance’s collection, use and storage of my payment information is subject to Trushield Insurance’s
privacy policy. Trushield Insurance shall not collect, use or store my payment information for any other purpose without first obtaining my consent, or disclose my payment information to any other party without first obtaining my consent except where required by law. This consent to collect, use, store my payment information shall expire upon the expiration or termination of my insurance policy with Trushield Insurance.