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11
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1
Enter Your Full Name
*
This field is required.
First Name Last Name
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2
Enter Your Company Name, if applicable
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3
Email
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This field is required.
example@example.com
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4
Phone Number (optional)
Please enter a valid phone number.
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5
On what continent(s) do you conduct business?
*
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This includes all areas where you currently serve customers or target potential customers as well as any headquarters, operational locations, and additional office locations. (Choose all that apply).
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6
What countries are you, your employees, and your customers in?
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Choose all that apply.
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7
What states within the U.S. do you conduct business in ?
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Choose all that apply.
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8
What industry is your business in?
*
This field is required.
Choose all that apply. Choose Children Services if you offer services for or market to children (or believe that children may be interested in what you market or sell)
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9
What type of PII do you collect?
*
This field is required.
PII refers to personal identifiable information - any information that can identify a person
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10
Is your business registered with a regulatory body as a non-profit organization (i.e. 501(c)(3))?
Yes
No
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11
What do you do with the PII collected?
*
This field is required.
LIst all of the ways that the collected data is used (i.e.- collect and store, use for personalization, etc.)
Collect and Store
Share with third party partners (internal)
Direct Marketing Email
Direct Marketing Text
Internal Order Fulfillment and Customer Support
External Order Fulfillment and Customer Support
Sell to Outside Third Parties
Share with Internal Third Parties (affiliates)
Share with Outside Third Parties
Use for Payment Verification or Transaction Processing
Use for Machine Learning and AI Applications
Use for Recruitment or Employment Activities
Other
Please Select
Collect and Store
Share with third party partners (internal)
Direct Marketing Email
Direct Marketing Text
Internal Order Fulfillment and Customer Support
External Order Fulfillment and Customer Support
Sell to Outside Third Parties
Share with Internal Third Parties (affiliates)
Share with Outside Third Parties
Use for Payment Verification or Transaction Processing
Use for Machine Learning and AI Applications
Use for Recruitment or Employment Activities
Other
Choose all that apply
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Global Privacy Regulation Advisor
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