Consumer Data Privacy Rights Request Form

This form is for use by residents of places with consumer data privacy laws that afford them the right to access, know, correct, or delete their Personal Data submitted to or
collected by GeorgeTom Inc. (the “Company”) through my interaction with this site. You may also choose to opt-out of any sharing of your Personal Data.

In accordance with our Privacy Policy, please provide the information requested below to help us comply with your request on a timely basis. Thank you!

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Consumer Request

Consumer Data Privacy Rights Request Form

Person Making This Request:

By submitting this Request, you certify that you are a resident of California, Virginia, Colorado, Connecticut, Utah, Texas, Oregon, Montana, the European Union, or another jurisdiction with a similar comprehensive consumer data privacy law.

Type of Request

Leaving Site

Consumer Data Privacy Rights Request Form

Person Making This Request:

By submitting this Request, you certify that you are a resident of California, Virginia, Colorado, Connecticut, Utah, Texas, Oregon, Montana, the European Union, or another jurisdiction with a similar comprehensive consumer data privacy law.

Type of Request