Do Not Sell or Share My Personal Information

If you are a resident of California, Colorado, Connecticut, Delaware, Florida, Indiana, Iowa, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, Oregon, Tennessee, Texas, Utah, or Virginia, you may opt out of the “selling” or “sharing” of your personal information/data for cross-context behavioral advertising by filling out the form below. Please see our Privacy Policy for more information.

Full Name *

Phone Number *

Email *

Street Address *

Apt, Suite, Unit (optional)

City *

State *

ZIP Code *

Please select the applicable box: *

I certify that I am a resident of one of the states listed above submitting this request for myself. I certify that I am an authorized agent submitting this request on behalf of a resident of one of the states listed above. I may be required to submit proof that I have been duly authorized to act on their behalf.

By submitting this request, I certify that I have reviewed this form in its entirety and all information on this form is true and correct.