preferences.clearbit.com Open in urlscan Pro
65.9.66.112  Public Scan

Submitted URL: https://track.clearbitforprivacy.com/?xtl=1q531mkkb0gap81xeg7csueb9urnwreuub388nsq6ehm78y2vb2daaht5oini1nulm4toxkev4nzdj99lj7acrfsnk4...
Effective URL: https://preferences.clearbit.com/privacy
Submission: On October 31 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST /privacy?url=%2Fprivacy

<form id="privacy-intake-form" novalidate="novalidate" action="/privacy?url=%2Fprivacy" accept-charset="UTF-8" data-remote="true" method="post"><input type="hidden" name="authenticity_token"
    value="X8mkl3B-EWJWTzS48c774s845I-RrqdF7sQ-bejrt1kFvt8Ub-92AjGmJiVLE3YJ4YGxFqGNmSO5BLMvq79M3A" autocomplete="off">
  <div class="remove-me">
    <div class="row privacy-intake-header">
      <div class="privacy-intake-header-title-container col-xs-12 col-lg-12">
        <img alt="Clearbit logo" class="privacy-intake-logo" src="https://assets-production.datagrail.io/clearbit.png?versionId=Apj1S9Gy_cM0rLa6dOHtl2kn0nuhJ5Hq">
      </div>
      <div class="geo-selector-row row col-lg-12">
        <div class="col-xs-12 col-lg-5">
          <div class="geo-selector-wrap mb-3">
            <button class="geo-selector-dropdown" id="geo-selector-dropdown" style="border: none; background: none; color: #0671EC;" title="Location selector, click to expand/collapse">
              <i class="fas fa-globe"></i> Germany <i aria-hidden="true" class="fa fa-caret-down"></i>
            </button>
          </div>
          <div class="geo-selector-content hide">
            <div class="form-group">
              <label for="reported_country">Country of residence</label>
              <select class="form-control" id="reported_country" required="required" autocomplete="disabled" name="reported_country">
                <option value="">Select a country</option>
                <option value="AF">Afghanistan</option>
                <option value="AX">Åland Islands</option>
                <option value="AL">Albania</option>
                <option value="DZ">Algeria</option>
                <option value="AS">American Samoa</option>
                <option value="AD">Andorra</option>
                <option value="AO">Angola</option>
                <option value="AI">Anguilla</option>
                <option value="AQ">Antarctica</option>
                <option value="AG">Antigua and Barbuda</option>
                <option value="AR">Argentina</option>
                <option value="AM">Armenia</option>
                <option value="AW">Aruba</option>
                <option value="AU">Australia</option>
                <option value="AT">Austria</option>
                <option value="AZ">Azerbaijan</option>
                <option value="BS">Bahamas</option>
                <option value="BH">Bahrain</option>
                <option value="BD">Bangladesh</option>
                <option value="BB">Barbados</option>
                <option value="BY">Belarus</option>
                <option value="BE">Belgium</option>
                <option value="BZ">Belize</option>
                <option value="BJ">Benin</option>
                <option value="BM">Bermuda</option>
                <option value="BT">Bhutan</option>
                <option value="BO">Bolivia</option>
                <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
                <option value="BA">Bosnia and Herzegovina</option>
                <option value="BW">Botswana</option>
                <option value="BV">Bouvet Island</option>
                <option value="BR">Brazil</option>
                <option value="IO">British Indian Ocean Territory</option>
                <option value="BN">Brunei Darussalam</option>
                <option value="BG">Bulgaria</option>
                <option value="BF">Burkina Faso</option>
                <option value="BI">Burundi</option>
                <option value="CV">Cabo Verde</option>
                <option value="KH">Cambodia</option>
                <option value="CM">Cameroon</option>
                <option value="CA">Canada</option>
                <option value="KY">Cayman Islands</option>
                <option value="CF">Central African Republic</option>
                <option value="TD">Chad</option>
                <option value="CL">Chile</option>
                <option value="CN">China</option>
                <option value="CX">Christmas Island</option>
                <option value="CC">Cocos (Keeling) Islands</option>
                <option value="CO">Colombia</option>
                <option value="KM">Comoros</option>
                <option value="CG">Congo</option>
                <option value="CD">Congo, The Democratic Republic of the</option>
                <option value="CK">Cook Islands</option>
                <option value="CR">Costa Rica</option>
                <option value="CI">Côte d'Ivoire</option>
                <option value="HR">Croatia</option>
                <option value="CU">Cuba</option>
                <option value="CW">Curaçao</option>
                <option value="CY">Cyprus</option>
                <option value="CZ">Czechia</option>
                <option value="DK">Denmark</option>
                <option value="DJ">Djibouti</option>
                <option value="DM">Dominica</option>
                <option value="DO">Dominican Republic</option>
                <option value="EC">Ecuador</option>
                <option value="EG">Egypt</option>
                <option value="SV">El Salvador</option>
                <option value="GQ">Equatorial Guinea</option>
                <option value="ER">Eritrea</option>
                <option value="EE">Estonia</option>
                <option value="SZ">Eswatini</option>
                <option value="ET">Ethiopia</option>
                <option value="FK">Falkland Islands (Malvinas)</option>
                <option value="FO">Faroe Islands</option>
                <option value="FJ">Fiji</option>
                <option value="FI">Finland</option>
                <option value="FR">France</option>
                <option value="GF">French Guiana</option>
                <option value="PF">French Polynesia</option>
                <option value="TF">French Southern Territories</option>
                <option value="GA">Gabon</option>
                <option value="GM">Gambia</option>
                <option value="GE">Georgia</option>
                <option selected="selected" value="DE">Germany</option>
                <option value="GH">Ghana</option>
                <option value="GI">Gibraltar</option>
                <option value="GR">Greece</option>
                <option value="GL">Greenland</option>
                <option value="GD">Grenada</option>
                <option value="GP">Guadeloupe</option>
                <option value="GU">Guam</option>
                <option value="GT">Guatemala</option>
                <option value="GG">Guernsey</option>
                <option value="GN">Guinea</option>
                <option value="GW">Guinea-Bissau</option>
                <option value="GY">Guyana</option>
                <option value="HT">Haiti</option>
                <option value="HM">Heard Island and McDonald Islands</option>
                <option value="VA">Holy See (Vatican City State)</option>
                <option value="HN">Honduras</option>
                <option value="HK">Hong Kong</option>
                <option value="HU">Hungary</option>
                <option value="IS">Iceland</option>
                <option value="IN">India</option>
                <option value="ID">Indonesia</option>
                <option value="IR">Iran, Islamic Republic of</option>
                <option value="IQ">Iraq</option>
                <option value="IE">Ireland</option>
                <option value="IM">Isle of Man</option>
                <option value="IL">Israel</option>
                <option value="IT">Italy</option>
                <option value="JM">Jamaica</option>
                <option value="JP">Japan</option>
                <option value="JE">Jersey</option>
                <option value="JO">Jordan</option>
                <option value="KZ">Kazakhstan</option>
                <option value="KE">Kenya</option>
                <option value="KI">Kiribati</option>
                <option value="KP">Korea, Democratic People's Republic of</option>
                <option value="KR">Korea, Republic of</option>
                <option value="KW">Kuwait</option>
                <option value="KG">Kyrgyzstan</option>
                <option value="LA">Lao People's Democratic Republic</option>
                <option value="LV">Latvia</option>
                <option value="LB">Lebanon</option>
                <option value="LS">Lesotho</option>
                <option value="LR">Liberia</option>
                <option value="LY">Libya</option>
                <option value="LI">Liechtenstein</option>
                <option value="LT">Lithuania</option>
                <option value="LU">Luxembourg</option>
                <option value="MO">Macao</option>
                <option value="MG">Madagascar</option>
                <option value="MW">Malawi</option>
                <option value="MY">Malaysia</option>
                <option value="MV">Maldives</option>
                <option value="ML">Mali</option>
                <option value="MT">Malta</option>
                <option value="MH">Marshall Islands</option>
                <option value="MQ">Martinique</option>
                <option value="MR">Mauritania</option>
                <option value="MU">Mauritius</option>
                <option value="YT">Mayotte</option>
                <option value="MX">Mexico</option>
                <option value="FM">Micronesia, Federated States of</option>
                <option value="MD">Moldova</option>
                <option value="MC">Monaco</option>
                <option value="MN">Mongolia</option>
                <option value="ME">Montenegro</option>
                <option value="MS">Montserrat</option>
                <option value="MA">Morocco</option>
                <option value="MZ">Mozambique</option>
                <option value="MM">Myanmar</option>
                <option value="NA">Namibia</option>
                <option value="NR">Nauru</option>
                <option value="NP">Nepal</option>
                <option value="NL">Netherlands</option>
                <option value="NC">New Caledonia</option>
                <option value="NZ">New Zealand</option>
                <option value="NI">Nicaragua</option>
                <option value="NE">Niger</option>
                <option value="NG">Nigeria</option>
                <option value="NU">Niue</option>
                <option value="NF">Norfolk Island</option>
                <option value="MK">North Macedonia</option>
                <option value="MP">Northern Mariana Islands</option>
                <option value="NO">Norway</option>
                <option value="OM">Oman</option>
                <option value="PK">Pakistan</option>
                <option value="PW">Palau</option>
                <option value="PS">Palestine, State of</option>
                <option value="PA">Panama</option>
                <option value="PG">Papua New Guinea</option>
                <option value="PY">Paraguay</option>
                <option value="PE">Peru</option>
                <option value="PH">Philippines</option>
                <option value="PN">Pitcairn</option>
                <option value="PL">Poland</option>
                <option value="PT">Portugal</option>
                <option value="PR">Puerto Rico</option>
                <option value="QA">Qatar</option>
                <option value="RE">Réunion</option>
                <option value="RO">Romania</option>
                <option value="RU">Russian Federation</option>
                <option value="RW">Rwanda</option>
                <option value="BL">Saint Barthélemy</option>
                <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
                <option value="KN">Saint Kitts and Nevis</option>
                <option value="LC">Saint Lucia</option>
                <option value="MF">Saint Martin (French part)</option>
                <option value="PM">Saint Pierre and Miquelon</option>
                <option value="VC">Saint Vincent and the Grenadines</option>
                <option value="WS">Samoa</option>
                <option value="SM">San Marino</option>
                <option value="ST">Sao Tome and Principe</option>
                <option value="SA">Saudi Arabia</option>
                <option value="SN">Senegal</option>
                <option value="RS">Serbia</option>
                <option value="SC">Seychelles</option>
                <option value="SL">Sierra Leone</option>
                <option value="SG">Singapore</option>
                <option value="SX">Sint Maarten (Dutch part)</option>
                <option value="SK">Slovakia</option>
                <option value="SI">Slovenia</option>
                <option value="SB">Solomon Islands</option>
                <option value="SO">Somalia</option>
                <option value="ZA">South Africa</option>
                <option value="GS">South Georgia and the South Sandwich Islands</option>
                <option value="SS">South Sudan</option>
                <option value="ES">Spain</option>
                <option value="LK">Sri Lanka</option>
                <option value="SD">Sudan</option>
                <option value="SR">Suriname</option>
                <option value="SJ">Svalbard and Jan Mayen</option>
                <option value="SE">Sweden</option>
                <option value="CH">Switzerland</option>
                <option value="SY">Syrian Arab Republic</option>
                <option value="TW">Taiwan</option>
                <option value="TJ">Tajikistan</option>
                <option value="TZ">Tanzania</option>
                <option value="TH">Thailand</option>
                <option value="TL">Timor-Leste</option>
                <option value="TG">Togo</option>
                <option value="TK">Tokelau</option>
                <option value="TO">Tonga</option>
                <option value="TT">Trinidad and Tobago</option>
                <option value="TN">Tunisia</option>
                <option value="TR">Turkey</option>
                <option value="TM">Turkmenistan</option>
                <option value="TC">Turks and Caicos Islands</option>
                <option value="TV">Tuvalu</option>
                <option value="UG">Uganda</option>
                <option value="UA">Ukraine</option>
                <option value="AE">United Arab Emirates</option>
                <option value="GB">United Kingdom</option>
                <option value="UM">United States Minor Outlying Islands</option>
                <option value="US">United States</option>
                <option value="UY">Uruguay</option>
                <option value="UZ">Uzbekistan</option>
                <option value="VU">Vanuatu</option>
                <option value="VE">Venezuela</option>
                <option value="VN">Vietnam</option>
                <option value="VG">Virgin Islands, British</option>
                <option value="VI">Virgin Islands, U.S.</option>
                <option value="WF">Wallis and Futuna</option>
                <option value="EH">Western Sahara</option>
                <option value="YE">Yemen</option>
                <option value="ZM">Zambia</option>
                <option value="ZW">Zimbabwe</option>
              </select>
              <div class="privacy-intake-error-message"> Please choose a country </div>
            </div>
            <div class="form-group">
              <div class="form-group">
                <label hidden="hidden" for="privacy-intake-state-select">Region of residence</label>
                <select name="privacy-intake-state-select" id="privacy-intake-state-select" class="form-control" hidden="hidden" autocomplete="disabled">
                  <option value="">Select a state</option>
                  <option value="BW">Baden-Württemberg</option>
                  <option value="BY">Bavaria</option>
                  <option value="BE">Berlin</option>
                  <option value="BB">Brandenburg</option>
                  <option value="HB">Bremen</option>
                  <option value="HH">Hamburg</option>
                  <option value="HE">Hesse</option>
                  <option value="NI">Lower Saxony</option>
                  <option value="MV">Mecklenburg-Vorpommern</option>
                  <option value="NW">North Rhine-Westphalia</option>
                  <option value="RP">Rhineland-Palatinate</option>
                  <option value="SL">Saarland</option>
                  <option value="SN">Saxony</option>
                  <option value="ST">Saxony-Anhalt</option>
                  <option value="SH">Schleswig-Holstein</option>
                  <option value="TH">Thuringia</option>
                </select>
              </div>
            </div>
          </div>
        </div>
      </div>
      <script>
        const dropdownToggle = document.querySelector('.geo-selector-dropdown');
        const selectorContent = document.querySelector('.geo-selector-content');
        dropdownToggle.addEventListener('click', function(e) {
          e.preventDefault();
          selectorContent.classList.toggle('hide');
        });
      </script>
      <div class="privacy-intake-header-title-container col-xs-12 col-lg-6">
        <h1 class="typography typography--h1"> Privacy Request Form </h1>
      </div>
      <div class="privacy-intake-header-internal">
        <div class="col-xs-12 col-lg-6">
          <p class="mb-3"> Use this form to make a privacy request regarding your data. The different types of requests you can make are found below. Enter your details, choose the type of request you would like to make, and submit the form. </p>
        </div>
      </div>
    </div>
    <hr>
    <div class="privacy-intake-details">
      <div class="row">
        <div class="col-xs-12 col-lg-5">
          <h2 class="typography typography--h2"> Data Subject Details </h2>
          <p>
          </p>
          <p>We need your name and email address in order to process your request and safeguard your data. We will use the data gathered here only to process your request and for record-keeping as required by law.</p>
          <p>You will receive an email to verify your address. Follow the instructions you will receive to complete processing of your request.</p>
          <p></p>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-12 col-lg-4">
          <div class="form-group">
            <label for="first_name">First name</label>
            <input type="text" name="first_name" id="first_name" class="form-control" required="required">
            <div class="privacy-intake-error-message"> Please enter your first name </div>
          </div>
          <div class="form-group">
            <label for="last_name">Last name</label>
            <input type="text" name="last_name" id="last_name" class="form-control" required="required">
            <div class="privacy-intake-error-message"> Please enter your last name </div>
          </div>
          <div class="form-group email">
            <label for="email">Email address</label>
            <input type="text" name="email" id="email" class="form-control" required="required">
            <div class="privacy-intake-error-message" id="email-error-message"> Please enter a valid email </div>
          </div>
        </div>
      </div>
    </div>
    <hr>
    <div class="privacy-intake-request-type">
      <div class="row">
        <div class="col-xs-12 col-lg-5" id="privacy-intake-kinds-container">
          <h2 class="typography typography--h2" id="privacy-intake-kinds-header"> Type of Request </h2>
          <div aria-labelledby="privacy-intake-kinds-header" id="privacy-intake-kinds" role="radiogroup">
            <div class="form-check">
              <input type="radio" name="kind" id="kind_access" value="access" class="form-check-input" required="required" aria-label="Download" aria-describedby="description-for-Download">
              <label class="form-check-label" for="kind_access">Download</label>
              <p id="description-for-Download"> We will provide a complete report of your personal data across our systems </p>
            </div>
            <div class="form-check">
              <input type="radio" name="kind" id="kind_data_portability" value="data_portability" class="form-check-input" required="required" aria-label="Transfer" aria-describedby="description-for-Transfer">
              <label class="form-check-label" for="kind_data_portability">Transfer</label>
              <p id="description-for-Transfer"> Package up your data and send it to a desired recipient </p>
            </div>
            <div class="form-check">
              <input type="radio" name="kind" id="kind_deletion" value="deletion" class="form-check-input" required="required" aria-label="Delete" aria-describedby="description-for-Delete">
              <label class="form-check-label" for="kind_deletion">Delete</label>
              <p id="description-for-Delete"> Delete your personal data found in our systems </p>
            </div>
            <div class="form-check">
              <input type="radio" name="kind" id="kind_pause_processing" value="pause_processing" class="form-check-input" required="required" aria-label="Object to Processing" aria-describedby="description-for-Object to Processing">
              <label class="form-check-label" for="kind_pause_processing">Object to Processing</label>
              <p id="description-for-Object to Processing"> Ask us to stop processing your data for certain purposes (eg, public interest, legitimate interests, direct marketing) </p>
            </div>
            <div class="form-check">
              <input type="radio" name="kind" id="kind_rectification" value="rectification" class="form-check-input" required="required" aria-label="Update Inaccuracies" aria-describedby="description-for-Update Inaccuracies">
              <label class="form-check-label" for="kind_rectification">Update Inaccuracies</label>
              <p id="description-for-Update Inaccuracies"> Update any inaccuracy you've found in our systems </p>
            </div>
          </div>
          <div class="privacy-intake-error-message"> Please choose a request type </div>
        </div>
      </div>
    </div>
    <div class="privacy-intake-request-type-details hide">
      <hr>
      <div class="row">
        <div class="col-xs-12 col-lg-6" id="request-type-details-container">
          <h4>
            <label for="request_type_details"> Request Details </label>
          </h4>
          <div class="form-group">
            <textarea name="request_type_details" id="request_type_details" rows="7" disabled="disabled" required="required" class="form-control" maxlength="2000" placeholder="What would you like us to correct?"></textarea>
            <div class="privacy-intake-error-message"> Additional information is required for this type of request. </div>
          </div>
        </div>
      </div>
    </div>
    <hr>
    <div id="section-agents-question">
      <div>
        <div class="row">
          <div class="col-xs-12 col-lg-5">
            <h5> This request is for </h5>
            <div class="form-group">
              <label for="authorized-agent-dropdown">I am making this request on behalf of</label>
              <select name="[authorized-agents][agents-question][0]" id="authorized-agent-dropdown" class="form-control" required="required">
                <option value="" label=" "></option>
                <option value="myself">Myself</option>
                <option value="agent">Someone else - I'm an authorized agent</option>
              </select>
              <div class="privacy-intake-error-message"> Please choose 'I am making this request on behalf of' </div>
            </div>
          </div>
        </div>
      </div>
      <hr>
    </div>
    <div>
      <div class="hide" id="section-agents-section">
        <div>
          <div class="row">
            <div class="col-xs-12 col-lg-5">
              <h5> Your details </h5>
              <div class="form-group">
                <label for="agent_first_name">First name</label>
                <input type="text" name="[authorized-agents][agents-section][0]" id="agent_first_name" class="form-control" maxlength="50" disabled="">
                <div class="privacy-intake-error-message"> Please enter a value for 'First name' </div>
              </div>
              <div class="form-group">
                <label for="agent_last_name">Last name</label>
                <input type="text" name="[authorized-agents][agents-section][1]" id="agent_last_name" class="form-control" maxlength="50" disabled="">
                <div class="privacy-intake-error-message"> Please enter a value for 'Last name' </div>
              </div>
              <div class="form-group">
                <label for="agent_email">Email address</label>
                <input type="text" name="[authorized-agents][agents-section][2]" id="agent_email" class="form-control" maxlength="254" disabled="">
                <div class="privacy-intake-error-message"> Please enter a valid email. Must be different from data subject email. </div>
              </div>
            </div>
          </div>
        </div>
        <hr>
      </div>
    </div>
    <div class="privacy-intake-notes">
      <h2 class="typography typography--h2"> Additional Information </h2>
      <div class="row">
        <div class="col-xs-12 col-lg-6">
          <div class="form-group">
            <label for="additional_info">Additional information</label>
            <textarea name="additional_info" id="additional_info" rows="7" class="form-control"></textarea>
          </div>
        </div>
      </div>
    </div>
    <div class="privacy-intake-captcha">
      <div class="row">
        <div class="col-xs-12 col-lg-6">
          <div class="form-group">
            <div class="h-captcha" data-callback="onCaptchaSuccess" data-error-callback="onCaptchaError" data-expired-callback="onCaptchaExpire" data-open-callback="onCaptchaOpen" data-sitekey="c0e4e5ba-7506-4402-bda9-3830bf5f568e"
              data-theme="light"><iframe
                src="https://newassets.hcaptcha.com/captcha/v1/19a0fd9/static/hcaptcha.html#frame=checkbox&amp;id=0x5ohenv3sk&amp;host=preferences.clearbit.com&amp;sentry=true&amp;reportapi=https%3A%2F%2Faccounts.hcaptcha.com&amp;recaptchacompat=true&amp;custom=false&amp;hl=en&amp;tplinks=on&amp;pstissuer=https%3A%2F%2Fpst-issuer.hcaptcha.com&amp;sitekey=c0e4e5ba-7506-4402-bda9-3830bf5f568e&amp;theme=light&amp;origin=https%3A%2F%2Fpreferences.clearbit.com"
                tabindex="0" frameborder="0" scrolling="no" allow="private-state-token-issuance 'src'; private-state-token-redemption 'src'" title="Widget containing checkbox for hCaptcha security challenge" data-hcaptcha-widget-id="0x5ohenv3sk"
                data-hcaptcha-response="" style="width: 303px; height: 78px; overflow: hidden;"></iframe><textarea id="g-recaptcha-response-0x5ohenv3sk" name="g-recaptcha-response" style="display: none;"></textarea><textarea
                id="h-captcha-response-0x5ohenv3sk" name="h-captcha-response" style="display: none;"></textarea></div>
            <script async="async" defer="defer" src="https://hcaptcha.com/1/api.js"></script>
            <div class="privacy-intake-error-message"></div>
          </div>
        </div>
      </div>
    </div>
    <script>
      // Elements
      function submitButtonElement() {
        return document.querySelector('#privacy-intake-form .btn[type="submit"]');
      }

      function errorMessageElement() {
        return document.querySelector('.privacy-intake-captcha .privacy-intake-error-message');
      }
      // Callbacks
      function onCaptchaExpire() {
        toggleSubmitButton(false);
      }

      function onCaptchaSuccess() {
        toggleSubmitButton(true);
        hideCaptchaError();
      }

      function onCaptchaError() {
        toggleSubmitButton(false);
      }

      function onCaptchaOpen() {
        hideCaptchaError();
      }
      // DOM Changers
      function toggleSubmitButton(show) {
        if (show) {
          submitButtonElement().removeAttribute('disabled');
        } else {
          submitButtonElement().setAttribute('disabled', 'disabled');
        }
      }

      function showCaptchaError(message) {
        errorMessageElement().innerText = message;
        addErrorToParent(errorMessageElement());
      }

      function hideCaptchaError() {
        errorMessageElement().innerText = '';
        removeErrorFromParent(errorMessageElement());
      }

      function showSubmitErrors(errors) {
        if (errors.hcaptcha) {
          showCaptchaError(errors.hcaptcha);
          hcaptcha.reset();
          toggleSubmitButton(false);
        }
      }
    </script>
    <div class="privacy-intake-submit">
      <div class="row">
        <div class="col-xs-12 col-lg-5">
          <label for="submit-request">
            <input type="submit" name="submit request" value="Submit Request" class="btn btn-dark" id="submit-request" disabled="disabled" data-disable-with="Submit Request">
          </label>
          <input type="hidden" name="google_analytics_client_id" id="google_analytics_client_id" value="" autocomplete="off">
        </div>
      </div>
    </div>
    <hr>
    <div class="row">
      <div class="col-xs-12 col-lg-6"> By completing the information above, I certify that: I have the authority under relevant laws, rules and regulations to make the privacy rights request above associated with the information I provided; I am
        requesting the information for my own lawful purposes; I am not making this request for any fraudulent criminal, malicious or other unlawful purposes. I understand that Clearbit is unable to complete my request until I have completed all of
        the requested information. </div>
    </div>
  </div>
</form>

Text Content

THANK YOU

Your request has been submitted and you will receive an email shortly.

Germany
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Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados
Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and
Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean
Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia
Cameroon Canada Cayman Islands Central African Republic Chad Chile China
Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The
Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba
Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador
Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland
Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French
Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana
Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea
Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican
City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic
Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic
of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho
Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi
Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius
Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia
Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North
Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State
of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal
Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia
Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the
Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia
Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia
Solomon Islands Somalia South Africa South Georgia and the South Sandwich
Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden
Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste
Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and
Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United
States Minor Outlying Islands United States Uruguay Uzbekistan Vanuatu Venezuela
Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western
Sahara Yemen Zambia Zimbabwe
Please choose a country
Region of residence Select a stateBaden-Württemberg Bavaria Berlin Brandenburg
Bremen Hamburg Hesse Lower Saxony Mecklenburg-Vorpommern North Rhine-Westphalia
Rhineland-Palatinate Saarland Saxony Saxony-Anhalt Schleswig-Holstein Thuringia


PRIVACY REQUEST FORM

Use this form to make a privacy request regarding your data. The different types
of requests you can make are found below. Enter your details, choose the type of
request you would like to make, and submit the form.

--------------------------------------------------------------------------------


DATA SUBJECT DETAILS



We need your name and email address in order to process your request and
safeguard your data. We will use the data gathered here only to process your
request and for record-keeping as required by law.

You will receive an email to verify your address. Follow the instructions you
will receive to complete processing of your request.



First name
Please enter your first name
Last name
Please enter your last name
Email address
Please enter a valid email

--------------------------------------------------------------------------------


TYPE OF REQUEST

Download

We will provide a complete report of your personal data across our systems

Transfer

Package up your data and send it to a desired recipient

Delete

Delete your personal data found in our systems

Object to Processing

Ask us to stop processing your data for certain purposes (eg, public interest,
legitimate interests, direct marketing)

Update Inaccuracies

Update any inaccuracy you've found in our systems

Please choose a request type

--------------------------------------------------------------------------------

REQUEST DETAILS

Additional information is required for this type of request.

--------------------------------------------------------------------------------

THIS REQUEST IS FOR

I am making this request on behalf of Myself Someone else - I'm an authorized
agent
Please choose 'I am making this request on behalf of'

--------------------------------------------------------------------------------

YOUR DETAILS

First name
Please enter a value for 'First name'
Last name
Please enter a value for 'Last name'
Email address
Please enter a valid email. Must be different from data subject email.

--------------------------------------------------------------------------------


ADDITIONAL INFORMATION

Additional information



--------------------------------------------------------------------------------

By completing the information above, I certify that: I have the authority under
relevant laws, rules and regulations to make the privacy rights request above
associated with the information I provided; I am requesting the information for
my own lawful purposes; I am not making this request for any fraudulent
criminal, malicious or other unlawful purposes. I understand that Clearbit is
unable to complete my request until I have completed all of the requested
information.
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