CCPA - INFORMATION REQUEST

CCPA - INFORMATION REQUEST
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
Email*
example@example.com
Please indicate your relationship with us:*

CustomerPotential customerI share a single dwelling with a customer/potential customerPotential service providerAuthorized Agent of a Customer/Potential CustomerOther
We will send an automated acknowledgment of your request. If you do not receive confirmation of your request, please resubmit your form or contact us at privacy@bananabros.com. After verifying your identity, we will process your request and respond within 45 days.
Should be Empty: