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CCPA Opt Out Form

Do Not Sell My Personal Information

As a California resident, you have the right to opt out of the sale of your personal information under the California Consumer Privacy Act (CCPA). By submitting this form, you request that we do not sell your personal information.

First Name

Last Name

Email

Phone

Untitled checkboxes field

Please do not sell my personal information (this confirms you want to opt-out of all personal information being sold)

Verification:

To process your request, we may need to verify your identity. Please provide any additional information that can help us verify your identity

Important Information:

• We will process your opt-out request within 15 business days.

• For more information on how we handle personal information, please review our Personal Data Notice.

• If you have any questions, please contact us at info@clinrol.com.

By submitting this form, you confirm that you are a California resident and that the information provided is accurate.