The information I have provided relates to blood I have received or given, or that a family member or close friend has received or given, to the New Zealand Blood Service.*

I agree to comply with the Terms and hereby give permission to New Zealand Blood Service (NZBS) to use, choose not to use, or edit the information obtained from me for any purpose. I understand that no payment will be made by NZBS for that information. I confirm that the information obtained from me is up to date and correct. 

I give permission for the information to be used until I tell NZBS in writing that they are no longer entitled to use it for any new publicity purposes. I acknowledge that any existing commitments that use the information will not be affected. I acknowledge that any publicity material that has been printed and not yet distributed may be used until printed stocks are exhausted. 

Note: you are entitled under the provisions of the Privacy Act 2020 to access and correct any personal information held about you by NZBS. To access or request correction of your personal information please contact the NZBS by writing to The Privacy Officer, New Zealand Blood Service, Private Bag 92071, Auckland Mail Centre, Auckland 1142*

*required to be completed