Limit the Use of My Sensitive Personal information

Limit the Use of My Sensitive Personal information.

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First Name*

Middle Name (optional)

Last Name*

Address and Unit Number*

City*

State*

Zip*

Email*

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Mobile Number

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Date of Birth

CAPTCHA

I understand that by clicking on the "I Accept & Continue" button below, I am providing "written instructions" to Aristotle, Inc. authorizing Aristotle, Inc. to access my personal information from Aristotle. I authorize Aristotle, Inc. to access such information solely to perform the action(s) requested. I warrant and represent that the information I am providing is true and correct and that I am making this request on my own behalf and with respect to my own information and identity. I further understand that depending on my state of residence Aristotle may require additional information to confirm my identity before processing my request.

Name

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