You may exercise your right to request your personal information or your right to request deletion by calling 800-345-0191, extension 414, or by completing the the form below.

If you have any questions please call our toll free number at 800-345-0191, extension 414.

Type of Request

Please choose if you would like to receive your requested response via email or regular mail. If by email please provide a valid email address. CNAN will not use your email address for marketing purposes.

CNAN will mail the response to the address provided below.

Person(s) Making this Request

Purchaser Information

or

Purchaser and Co-Purchaser

By completing this request you certify, as a Purchaser and Co-Purchaser, you are completing this form as an individual no other person is making this request on your behalf.

Purchaser Information

or

Co-Purchaser Information

Purchaser Information

or

Agent's Information

 
Under the CCPA to make a request on behalf of the purchaser, as the Agent, you must provide written authorization from the Purchaser. Please upload the Purchaser’s written authorization here.
Please provide written authorization from the Purchaser to make this request on their behalf.
Unlimited number of files can be uploaded to this field.
1 GB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg, png.

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