Do Not Sell My Personal Information
California residents may use this form to opt out of the sale of their personal information to third parties, as described in our Privacy Policy. While you are not required to complete all fields, please be advised that we can only search for your information and mark it as not to be shared using the details that you provide; if you decline to provide information, our search may be incomplete.
Please note that you do not have the right to opt out of our sharing your personal information with service providers, who are parties we engage to perform a function on our behalf and are contractually obligated to use the information only for that function.
If you are completing this request on behalf of another person, please fill in the consumer’s information and add your information in the space provided.
Consumer Name: [required]
Consumer Email Address: [required]
Consumer Mailing Address: [required to confirm California residency]
Consumer Mobile Phone Number: [opt.]
Other Identifying Details We Should Search (IP Addresses, Device IDs, etc): [opt.]
Please describe the nature of Consumer’s relationship with Company: [required]
- Customer
- Employee
- Former Employee
- Uncertain
Are You Completing This Request On Behalf Of Another Individual?
- Yes
- No
If Yes
- I am the legal parent/guardian and the Consumer is under
- I have legal authority to act on behalf of the
- The Consumer has authorized me to act on his/her
Provide YOUR name, email address and telephone number: [text box or fields]
For the protection of our customers, it may be necessary for us to request additional details, including a government-issued photo ID, to confirm your identity before we act on your request. We will contact you by email if this is necessary. We will not use personal information submitted for the purpose of a Consumer Data Request for any purpose other than to effectuate your request.
Please fill out form and email it back to info@WealthMentory.com