California Consumer Privacy Act (CCPA) Request Form

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California Consumer Privacy Act (CCPA) Request Form

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* Indicates required question

Email *

Your email

First and Last Name *

Your answer

Mailing Address (Street, City, State, Zip) *

Your answer

Phone Number (xxx-xxx-xxxx) *

Your answer

Preferred method of contact *

Your answer

Are you making this request on your behalf? *

Yes

No

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