PILOT TEST NOTICE: This form is part of a limited internal test. Submit TEST DATA ONLY. Do not enter real Social Security numbers, dates of birth, bank-account or credit-card numbers, income or asset details, or loan documents.
By checking a box below and clicking Submit, you give [Company Name] and its authorized service providers your express written consent to contact you using the method(s) you select, at the telephone number and email address you provide, about mortgage and refinancing options. For telephone and SMS/text, you consent to receive calls and text messages, which may be placed or sent using automated technology, including an automatic telephone dialing system and prerecorded or artificial voice messages. Your consent is not a condition of purchasing any property, good, or service. Message and data rates may apply and message frequency varies. You may withdraw consent at any time by using the opt-out link in any message, replying STOP to a text, or visiting the privacy page at [Opt-Out URL]. Information you submit is handled in accordance with the Privacy Policy. Form version: lead-form-v1. Consent version: consent-v1.
[PLACEHOLDER: state-specific notices go here once identified - see docs/OPEN_QUESTIONS.md #18 (NMLS ID, licensing disclosures, and whether any state requires its own wording). Same status as [Company Name] and [Opt-Out URL] above: drafting text, reviewed before launch, not yet real legal copy.]
