PRIVACY REQUEST FORM

You may use this form to exercise your rights under the following states’ privacy regulations:

California

• California Consumer Privacy Act (CCPA) and the
• California Privacy Rights Act (CPRA)

These rights may include:

• Requesting access to personal information the Company holds about you;
• Requesting deletion or correction of that information;
• Opting out of certain processing, or;
• Submitting any other privacy related request permitted by law.

Please describe your request in your own words using the text box provided.