Consumer Rights Request Form

Depending on your country/state of residence, your local laws may provide you with certain rights with respect to your data. We have created the form below to assist you in submitting requests in connection with these rights. Please see our Privacy Policy for more information about these rights.

First Name:

Last Name:

Street:

City:

State:

Zip:

Phone:

Email:

Please indicate whether you are submitting this request for yourself or as an authorized agent:

Myself

As an agent of another individual

Please tell us what type of request(s) you would like to make:

	Information about the categories of personal information you collect about me, and how you use and disclose my information
	Access to the specific pieces of personal information you store about me
	Correction of your personal information
	Deletion of the personal information you store about me
	Opt out of the sale/sharing of my personal information through offline means (please see this link to opt out of online-based sales/sharing)

Please note that we will fulfill your request with respect to the personal information we store about you that is connected with the identifying information you provided above.

I certify that all of the information I have submitted is true and accurate.