DO NOT SELL MY PERSONAL INFORMATION From January 1, 2020 verified California residents will have the right to request that we not sell their personal information. From time to time Victaulic discloses or provides access to personal information to third parties for monetary or other valuable consideration. By completing this form you are instructing us to exclude your personal information from those transactions. To respond to your request we will need to collect information from you to enable us to link the information we hold to you. This verification process helps ensure that we are honoring your request by excluding information about you, and not information about someone else, from these transactions. You must be 16 years of age or older to make a request. If you are under 16, your parent or legal guardian must make the request on your behalf. STEP 1: VERIFYING YOUR INDENTITY FIRST NAME* MIDDLE NAME/INITIAL LAST NAME* ANY OTHER NAME YOU HAVE USED ADDRESS Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina 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 Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands 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 and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin 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 Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Country ANY OTHER ADDRESS YOU HAVE USED PHONE* ANY OTHER PHONE NUMBER YOU HAVE USED* CURRENT EMAIL* ANY OTHER EMAIL YOU HAVE USED IDENTIFICATION Max. file size: 50 MB. Upload current Government-issued Identification STEP 2: HOW YOU HAVE INTERACTED WITH US I AM A: Current Employee Former Employee Relative of an Employee Customer Employee of Vendor Parent or Guardian Other SUBMIT CONTACT US CAREERS WEBSITE FEEDBACK SITEMAP PRIVACY STATEMENT TERMS & CONDITIONS COOKIE NOTICE DO NOT SELL MY PERSONAL INFORMATION JOIN OUR MAILING LIST © 2021 Victaulic Company. All rights reserved. We use cookies to give you the best experience when using our website. With your permission, we also set performance and functionality cookies, analytics cookies, advertising cookies and social media cookies. You can click “Accept all” if you are happy for us to place cookies (you can always change your mind later). For more information please see our Cookie Notice. Manage Cookies Accept All