California Consumer Privacy Act Form

Request the data we have

Please confirm your information. California residents only. All fields are required to process your request.*

Please enter your First Name
Please enter your Last Name
Please enter a valid Home Phone Number (333-333-4444).
Please enter a valid Mobile Phone Number (333-333-4444).
Please enter a valid Email Address
Please enter your Mailing Address
Please enter your City
Please enter your Apt./Suite
Please enter a valid Zip.
Please enter your State.

*Please provide at least one contact phone number.

Select one option per submission:

** Due to privacy concerns, your identity must be verified before we can send the data we have on you. The process to send requested information or delete your information could take up to 45 days (or longer upon notice) to complete. If requesting to send data via mail, complete address is required.

Click here to see our Privacy Policy. Our response may be limited by applicable laws. To contact us regarding our Privacy Policy or privacy practice, you can send correspondence via email at; call us at 833.224.8975; or send postal mail to Bridgevine, Attn: Production Support, 5555 Glenridge Connector, 10th Floor, Atlanta, GA 30342.