1. Complete the following information of the person whose information is the subject of this request:
NameFirstLast
Email
Phone Number###-###-####
Address
Street AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
2. Request Type [check all that apply]
I REQUEST ACCESS TO SPECIFIC PIECES OF PERSONAL INFORMATION YOU HAVE ABOUT MEI REQUEST ACCESS TO CATEGORIES OF PERSONAL INFORMATION YOU HAVE COLLECTED ABOUT MEOPT-OUT OF ALL SALES OF MY PERSONAL INFORMATIONDELETE ALL OF MY INFORMATION
- or -
DELETE SPECIFIC PIECES OF MY INFORMATION, AS DESCRIBED BELOW
3. Additional Detail
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California Privacy Rights Online Request Form