Wandering Bear - CCPA Request Web Form
California residents have the right to opt-out of the sale of their personal information. You may submit your request via the form below or see our Notice of Right to Opt-Out for more information.
Sign in to Google
to save your progress.
This request is reserved for California residents. Before proceeding, please confirm:
I am a California resident (or, I am an Authorized Agent submitting on behalf of a California resident)
I understand and agree that after submitting this request, I may be asked to provide further information to verify my identity and/or clarify my request
Under penalty of perjury, the information I have provided above is true and correct, and I am the person, or the authorized agent of the person, whose name appears above.
Please confirm the type of request you are submitting:
Right to Know - I would like to know what type of information has been collected about me, and for what commercial purposes this information has been provided
Right to Delete - I would like to request that my personal information be deleted
Right to Opt Out - I would like to request that my personal information not be sold
For Right to Know requests, please complete the following. I would like to know (select all that apply):
The categories of personal information you have collected about me
The categories of sources from which the personal information was collected
The categories of personal information about me you disclosed for a business purpose or sold
The categories of third parties to whom the personal information was disclosed for a business purpose or sold
The business or commercial purpose for collecting or selling the personal information
I would like to request a copy of the personal information you have about me
N/A, I am not submitting a Right to Know request
Are you are an Authorized Agent submitting this form on behalf of a California consumer?
Never submit passwords through Google Forms.
This form was created inside of Wandering Bear Coffee Co..