California Consumer Privacy Act - Request Form

First Name*

Last Name *

Email*

Phone Number*

🇺🇸

Street Address*

City*

State**

Zip/Postal Code*

To Access Your Personal Information

Request to receive specific pieces of personal information our company has about you

Other General Request (CCPA) (CCI)

Personal information our company has collected about you

Sources from which the personal information is collected

Personal information that we disclosed for a business purpose about you

Third parties to whom the personal information was disclosed for business purpose to

Business purpose for collecting our selling personal information

Delete my personal information

Do Not Share my Personal Information

Limit the Disclosure of My Sensitive Personal Information