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Consumer Data Request Form

Consumer Data Request Form

If you want to exercise your consumer rights, simply complete the form below.

If we cannot verify your request using the information you provide, then we will contact you to collect additional information by which to verify your request.

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

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