Data Subject Access Request Form

Name:

Email:

Phone:

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?*

CCPA

GDPR

I am submitting a request to ___________

Know what information is being collected from me

Have my information deleted

Opt out of having my data sold to third parties

Authorize that the site’s user, who is under the age of 13, may have their data sold or shared (I declare myself the parent or legal guardian of the user)

Opt in to the sale of my personal data

Please leave details regarding your action request or question.

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 American Epoxy & Metal Inc..

I understand that I will be required to validate my request by email, and I may be contacted in order to complete the request.

Thank you for submitting a request.

We will get back to you as soon as possible.

Oops, there was an error sending your request.

Please try again later.

info@americanepoxy.com (914) 963-5900 info@americanepoxy.com (914) 963-5900

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Data Subject Access Request Form

American Epoxy & Metal, Inc.
45 Prospect Street.
Yonkers, NY. 10701

Contact:

info@americanepoxy.com

Phone: (914) 963-5900
Fax: (914) 226-8796

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info@americanepoxy.com

Phone: (914) 963-5900Fax: (914) 226-8796

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Data Subject Access Request Form