Privacy Rights Request Form *First Name *Last Name *Email *Phone *Street Address *City *State---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY *Zip Code Please select one: * Data Deletion RequestData Portability Request (the specific information that we have collected about you)Information Disclosure Request (where we collected your information from, to which parties we shared it with, the associated business purposes for each and additional required disclosures) • Users with disabilities (and any other users) who wish to make a data deletion request, data portability request and/or information disclosure request can also contact us by emailing us at: [email protected]; calling us at: (877) 247-4136; or sending us U.S. mail to: 7209 Lancaster Pike Ste 4 #3001 Hockessin, DE 19707. • Where you make a data deletion request, data portability request and/or information disclosure request through an authorized agent, we will require that you or the authorized agent provide us with a valid written authorization executed by both parties, with the validity of such document determined by us in our reasonable, good faith discretion. Please submit such documentation to us at: [email protected], or sending us U.S. mail to: 7209 Lancaster Pike Ste 4 #3001 Hockessin, DE 19707. • We will only use personal information in a verifiable consumer request to verify the requestor's identity or authority to make the request. • You may only make a verifiable consumer request for access or data portability twice within a twelve (12)-month period. For additional discussion of your privacy rights, please visit our Privacy Policy by Clicking Here.
