Data Access Request Form - Lifescale Analytics

info@lifescaleanalytics.com
1915 Hwy 36 West, Roseville MN 55113

(763) 561-4990

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Data Access Request Form

Lifescale Analytics > Data Access Request Form

Data Access Request Form

Website:

lifescaleanalytics.com

Enter Your Full Name: *

Email provided by you to this site: *

I am submitting this information on behalf of: *

Myself

Someone else

Reason for your request? *

Get a copy of my personal information

Edit or correct my personal information

Restrict the processing of my personal information

Delete all my personal information

I confirm the following: *

Under penalty of perjury, I declare all of the above information to be true and accurate.

I am the consumer of the above website or the agent authorized by the consumer to make this request on their behalf.

I understand the deletion or restriction of my personal information is irreversable and may result in the termination of services with the above website.

I have read and agree to the Privacy Policy and understand that I will be required to validate my request by email and I may be contacted in order to complete the request.

If you are human, leave this field blank.

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