California Consumer Privacy Rights Request Form

If you are a California resident and would like to exercise your rights under the California Consumer Privacy Act (CCPA) as described in the Your Rights as a California Resident section of our Privacy Policy, please complete the form below and we will get back to you with a response.

We may ask for additional information or documents to verify the identity of the consumer who is the subject of this request. The information provided through this form will be used to respond to your request, including verifying identity, identifying personal information responsive to your request, and keeping records of your request.

1. Requestor Information

First Name

Last Name

Service Address

City

State

Zip Code (5 digits)

Account Number

Preferred Email Address

2. Are you the consumer?

2. Are you the consumer?

Yes No, I am the authorized agent of the consumer.

3. Specific Requests – Check all that apply

3. Specific Requests – Check all that apply (Optional)

Request to know the categories of personal information Astound has collected, used and/or disclosed about me.

Request to obtain the specific pieces of personal information Astound has collected about me.

Request to correct personal information Astound has collected about me.

Request to delete the personal information Astound has collected about me.

Request to opt-out of sale or sharing of my personal information.

DECLARATION By submitting this request form, I hereby certify that the information entered into this form is complete and accurate, and that I am the consumer who is the subject of this CCPA request or have been authorized by that consumer to act on his/her behalf, as indicated above. I understand that it may be necessary for Astound to verify my identity for this request, and additional information may be requested for this purpose.

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