CALIFORNIA CONSUMER PRIVACY ACT (CCPA)

Individual Rights Request Form
Consumer Support: 562-432-9260

Please fill out the following details as accurately as possible so we can validate and process your request. Any personal information provided here or in the context of completing your request will only be used to satisfy your request.

I want to:

Access my data

Delete my data

Do not sell

Are you requesting your own data?

Yes

Authorizer Name

First Name

Last Name

Authorizer Email

Select Brand:

Relationship to Organization

Name

First Name

Last Name

Phone

(###)

###

####

Please provide details to help us facilitate your request

Authorization & Acknowledgement

I understand that the organization may confirm my email address before this request can be processed.

I understand that I may need to provide further information to process this request.

I certify that the information provided in this form is true and accurate to the best of my knowledge.