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CANTINA
Individual Rights Request Form
In accordance with applicable U.S. privacy law, and depending on the jurisdiction in which you reside, you may be able to exercise certain data rights regarding your personal information.
Please complete this form to submit your request. For more information about these rights, please see our
Privacy Notice
.
In some cases, we may require additional information if we are unable to verify your request based on the information you have provided. The personal information submitted in connection with this request will be used to process your request.
Please identify your relationship with us:
Customer
Website Visitor
Employee
Job Applicant
Authorized Agent
Select the consumer right you would like to exercise:
You may also have the right to opt out of the use of your personal information for targeted advertising purposes. In California, this is also referred to as the right to opt-out of “sharing” your personal information for cross-context behavioral advertising purposes. Please visit our Cookie Management Tool to manage your cookie preferences. Please note this opt out is browser-specific. You must reset your preferences if you clear cookies or use a different browser or device.
Select which of the following rights you wish to exercise:
Right to Access / Portability.
Right to confirm whether we are processing personal information about you, and, under California law only, to obtain certain personalized details about the personal information we have collected about you.
Right to Know:
Right to know the categories of personal information we have collected about you in the past 12 months.
Right to Deletion:
Right to request the deletion of personal information we have collected from you, subject to certain exceptions.
Right to Correction:
Right to request that any inaccuracies in your personal information be corrected, taking into account the nature of the personal information and the purposes of the processing of your personal information.
Right to Opt Out of “Sales” or “Sharing”:
Right to opt out of the “selling” or “sharing” your personal information with third parties for monetary or other valuable consideration.
Right to Opt Out of Targeted Advertising.
You may also have the right to opt out of the use of your personal information for targeted advertising purposes. In California, this is also referred to as the right to opt-out of sharing your personal information for cross-contextual behavioral advertising purposes. In addition to submitting this form, please also visit our Cookie Management Tool to manage your cookie preferences. Please note this opt out is browser-specific. You must reset your preferences if you clear cookies or use a different browser or device.
First Name*
Last Name*
Date of Last Interaction with Customer Service
Email Address*
Mobile Phone Number
Company Name
Street Address
City*
State*
Zip Code*
Authorized Agents Only
If you’re an Authorized Agent submitting a request on behalf of a consumer, you must attach written authorization from the consumer indicating you’ve been authorized to submit a request on the consumer’s behalf. The form must be signed by both you and the consumer. All forms not signed will be rejected.
The form must be signed by both parties. All forms not signed will be rejected.
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By submitting this request, I am confirming the following:
Accuracy
: The information I have provided is true and accurate;
Privacy
: I understand the information will be processed by Cantina in accordance with our
Privacy Notice
;
Contact
: Cantina has the right to contact me to verify my identity and to process this request.
Thank you! Your submission has been received!
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