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CALIFORNIA CONSUMER DATA REQUEST FORM

Residents of California may use this form to submit requests to exercise their legal rights for access to or erasure of personal information. While not all fields are required, please be advised that we can only search for your information using the details that you provide; if you decline to provide information, our search may be incomplete.

If you are completing this request on behalf of another person, please fill in the consumer’s information and add your information in the space provided.











Other Identifying Details We Should Search (IP Addresses, Device IDs, etc.): Please describe the nature of Consumer’s relationship with eOutletStores:
Customer
Business Client
Other

Are you completing this request on behalf of another individual?
Yes

If Yes, please provide your name, email address, mailing address, and phone number. Please attach documentation showing the Consumer’s authorization (if Consumer is over 18).

I am the legal parent/guardian and the Consumer is under 18.
I have legal authority to act on behalf of this individual.
I am duly authorized by the Secretary of State to submit requests on behalf of others, and the consumer has authorized me to act on their behalf.

No

For the protection of our customers, it may be necessary for us to request additional details, including a government-issued photo ID, to confirm your identity before we act on your request. We will contact you by email if this is necessary. We will not use personal information submitted for the purpose of a Consumer Data Request for any purpose other than to effectuate this request.