Data Subject Access Request Form

Please fill in the information below. The website administrator or data protection officer will be notified of your request within 24 hours, and will need an appropriate amount of time to respond.

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Name: *

First

Last

What email address do you use to access the above website? *

You are submitting this request as: *

• The person, or the parent / guardian of the person, whose name appears above.
• An agent authorized by the consumer to make this request on their behalf.

Under the rights of which law are you making this request? *

• GDPR
• CCPA
• OTHER

I am submitting this request to: _________________________ *

• Know what information is being collected from me
• Have my information deleted
• Access my personal information
• Fix inaccurate information
• Receive a copy of my personal information
• Opt out of having my data shared for cross-context behavioral advertising
• Limit the use and disclosure of my sensitive personal information
• Other (please specify in the comment box below)

Additional information regarding this request:

I confirm that: *

• Under penalty of perjury, I declare all the above information to be true and accurate. I understand that the deletion or restriction of my personal data is irreversible and may result in the termination of services with Makyn.me. I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request.

SUBMIT