Data Subject Access Request Form

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This form is for use by California residents and European Union citizens/residents only.

To complete your request, please fill in the information below.

The Data Protection Officer will be notified of your request within 24 hours, and will need an appropriate amount of time to respond.

Email *

Name *

Company

I am making this request as: *

The person, or the company representative, whose name appears above

An agent authorized by the person or company to make this request on their behalf

Under the rights of which law are you making this request? *

CCPA (California Consumer Privacy Act - California, USA)

GDPR (General Data Protection Regulation - EU)

I am submitting a request to *

Know what information is being collected from me

Have my information deleted

Opt out of having my data sold to third parties

Required

Please leave details regarding your action request or question

I confirm that *

Under penalty of perjury, I declare all the above information to be true and accurate.

Required

I confirm that *

I understand that the deletion or restriction of my personal data is irreversible and may result in the termination of services with us

Required

I confirm that *

I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request.

Required

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