California Consumer Request Form

Please complete the information below. When you have completed the required information, submit the form by clicking “submit” at the bottom.

After receiving this form, we will be in touch with you to verify your identity and follow up on your request in compliance with applicable law.

Last Name

First Name

Phone Number

State of Residency

Request Type [check all that apply] Request Type [check all that apply] Opt-out of all sales by VBE of my personal information. I would like to request specific pieces of personal information that VBE has collected about me and the various categories of information VBE collected, sold or disclosed for a business purpose. I would like VBE to delete some or all of the personal information collected from me.

Additional Details [provide additional detail in the text box below]

4 + 14 =

California Consumer Request Form

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