Name *

First Name

Last Name

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.

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

Opt in to the sale of my personal data

Other (please specify in the comment box below)

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 Filip's Art.

I understand that I may be contacted in order to complete the request.