REQUEST

• TYPE OF REQUEST
  Please Select For myself On behalf of a minor as a legal guardian
• REQUEST SELECTION*
  Please Select Request DISCLOSURE of personal information collected Request DELETION of personal information collected Request DISCLOSURE of categories of personal information, categories of vendors shared, and the personal information collected

• CONTACT INFORMATION

  This is how we will contact you and validate your information.
• NAME*
  First NameLast Name
• EMAIL ADDRESS*
  We will only use the email address you provide to communicate with you about your CCPA request.
• PRIMARY PHONE NUMBER*
• ALTERNATE PHONE NUMBER

• REQUESTER ADDRESS

  This is your primary address. You must be a California resident to submit this form in accordance with the California Consumer Privacy Act.
• ADDRESS*
  Street Address Line 2
• CITY*
• STATE*

  California

  This form is only available to California residents.
• ZIP CODE*

• ADDRESS VERIFICATION

  To prove your identity, you’re required to provide a photo of yourself holding your identify document next to your face, where both are visible in the photo.
• FILE*
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• SUBMIT REQUEST