Data Subject Rights and Privacy Request Form

This form is intended only for individuals to submit a personal privacy request or question. By agreeing to submit a request via this form, you understand that the Company will process your personal information to respond to your request.

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Name

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Your Company's Organization/Legal Name

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Please check this box if

you are a designated representative, parent, or guardian submitting a privacy request on behalf of someone. The Company reserves the right to take reasonable steps to confirm your identity and confirm you have the legal right to exercise a privacy right on behalf of someone.

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What is your privacy-related request or question?