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Consumer Data Request Form

Please complete the form to submit a request to exercise your consumer data rights. We will process your request in the order in which it is received.

The information requested below is necessary to validate your request and locate any of your data we may have. Please provide accurate information to ensure quick processing.

First Name*

Last Name*
E-mail address*

Phone*
State of residence*

Fax
Order Numbers

Shipping or billing address

Street Address

Zip/Postal Code
City

State/Province

Please specify which rights you wish to exercise:

Confirm if we are processing your personal data
Correct inaccuracies in your personal data
Delete your personal data
Obtain a copy of your personal data