CCPA Consumer Request Form Please use this form to submit a request to exercise your rights under the CCPA. When you submit this form, the owner will be able to see your name and email address 1. Full Name * 2. E-mail address * 3. Confirmation Number for Most Recent Order * 4. I want to: * Know the categories of personal information collected and shared about me Obtain a copy of the personal information you have on me Delete the personal information you have on me Opt-out of the sale of personal information you have on me 5. I confirm that: * I am a resident of the state of California. Under penalty of perjury, I declare the above information is true, correct and that I am the person, the parent or guardian of the person, or the authorized agent of the person whose name appears above. I understand that I will be required to validate my request by email and I may be contacted to complete this request. I understand and agree that this request will be processed in accordance with applicable law(s), and therefore I may not recieve a response.