Avrick Direct

Personal information

We need to collect some personal information to process your request. The personal information collected on this page will be used only for the purpose of your request.

Name and Date of Birth

First Name

Last Name

Date of Birth

Email Address

Phone Number (optional)

Address

Address Line 1

Address Line 2 (optional)

City

ZIP Code

Requests

Provide me a list of categories of recipients to whom you have provided my data (for sale or business purposes) Provide me a list of categories of sources from which you have collected data related to me Provide me a list of categories of personal information that you have collected related to me Provide me the specific pieces of personal information you have collected related to me

Personal information

Name and Date of Birth

Address

Requests

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