HOBB

REQUEST FORM

Subject's Information

*First Name

*Last Name

*Email address

Requester Information

If HOBB Account Holder, Account Shipping Address

If HOBB Account Holder, Account Phone Number

*Nature of Request

Questions, Comments and Additional Information

Declaration

Please note that any attempt to mislead may result in prosecution. By submitting this request I confirm that I have read and understood the terms of this webform and certify that the information provided to HOBB through this request to delete submission is true and correct. I understand that it is necessary for HOBB to confirm the identity of the Subject and, if applicable, the Subject's authorized agent, in accordance with the CPRA and the regulation thereunder and that it may be necessary for HOBB to obtain more detailed information in order to verify the identities of such persons and to locate the correct personal information requested in this submission.

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