Privacy Request Questionnaire

This form is valid only for California residents.
If you live in another state, please make your request via Customer Service (800)-643-1948.

Examples of transactions: receipt information such as store number, store address, date, time, purchase information.

Please check all that apply
(at least one must be checked):

Pursuant to the California Consumer Privacy Act we will respond within 10 days to confirm receipt of your request.

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