CALIFORNIA CONSUMER PRIVACY ACT
DATA REQUEST FORM

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This request is reserved for California Residents only. Before proceeding, please attest to your California residency.

I attest under penalty of perjury that I am a California resident or I am an authorized agent submitting this request on behalf of a California resident.

This information will be used to process your CCPA request and for no other purpose. Community Coffee will maintain a record of your request persuant to Civil Code section 1798.105(d).
If you are submitting a request on behalf of a consumer, you must attach written proof that you have been authorized by the consumer to operate on his/her behalf when you reply to the verification email.

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CALIFORNIA CONSUMER PRIVACY ACT
DATA REQUEST FORM

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CALIFORNIA CONSUMER PRIVACY ACT DATA REQUEST FORM

CALIFORNIA CONSUMER PRIVACY ACT
DATA REQUEST FORM