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CCPA Online Request Form

The California Consumer Privacy Act (CCPA) provides consumers who are California residents with specific rights regarding their Personal Information. California residents also have the right to ask us to delete any Personal Information that we have collected about them, subject to certain limitations as set forth under CCPA. Please complete the form to submit a request.

Your Name

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Confirm Email

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Street Address

Apartment, Suite, Floor, etc.

City

Zip Code

Phone Number

I am a resident of California

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I hereby request the following from MZ Wallace (Check all that apply)

A copy of my personal information

Deletion of my personal information

By submitting this form I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Value is required

Thank you. Your California Consumer Privacy Act (CCPA) has been submitted. We’ll send you an email shortly to verify your account before we can proceed with your request. Please refer to our Privacy Policy for additional information.

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CCPA Online Request Form