Privacy Rights Request

If you are a resident of California, Colorado, Connecticut, Delaware, Iowa, Maryland, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, Oregon, Tennessee, Texas, Utah, or Virginia, you may submit this form to exercise your privacy rights as described in our Privacy Policy.

Consumer Information

Please enter information regarding the person on whose behalf request is being made below so their identity can be verified. For requests to opt-out of the sale of personal information or behavioral/targeted advertising, we do not need to verify your identity and you only need to provide your name and email address.

Requestor's Information

If you are the parent, legal guardian, or authorized agent for the person listed above and are making the request on their behalf, please also provide your contact information.

Acknowledgement

By pressing submit, I declare under penalty of perjury that I am either the person identified above or authorized to act on their behalf and that the information I provided on this form is true and accurate.

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Locations

Clark Associates

2205 Old Philadelphia Pike, Lancaster, PA 17602
Monday - Friday
8am – 4:30pm
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