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CCPA Request Webform

If you are a resident of California, and you want to submit a request to PJ's Coffee under the California Consumer Privacy Act (CCPA), please fill out this webform below.

CCPA Request Form
  • Please enter your first name.
  • Please enter your last name.
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    Please enter your phone number.
  • Please make a selection.
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By submitting this request I declare under penalty of perjury that I am a resident of California and the consumer whose personal information is the subject of the request.