By checking the box below, you certify that you are the person whose name appears on the form, that you are a resident of California, and that all information you have provided is true and accurate. By checking the box, you also verify that you understand that we will contact you at the email address provided to verify that you are the person making this request. Lastly, you also acknowledge that your information will be transferred to Mailchimp for processing, because this is the platform that we use for email marketing. Learn more about Mailchimp's privacy practices here.

Upon submitting this form, the personal information of the California resident identified will not be shared with any third parties.