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Name ^* Last Name ^* Mailing Address ^* Email ^*

What type of request would you like to make? ^* CCPA Request
GDPR Request
None of the above

Which of following have you interacted with? (select all that apply) Greenlane
Warehouse Goods
Better Life
Aerospaced
HS Products
BioVapor Solutions
Vapeworld
GS Fulfillment
Vibes
QD Products
MSI Imports

Which of the following best describes your relationship to Greenlane? ^* Website Visitor
Customer
Employee Or Contractor of Greenlane
Employee of A Corporate Customer
Employee of A Vendor
Other

What would you like to do? ^* Unsubscribe From Mailing Lists
Access Personal Information
Delete Personal Information

What would you like to do? ^* Unsubscribe From Mailing Lists
Access Personal Information
Receive Personal Information in a Portable Format
Correct Or Update Personal Information
Suppress/Delete Personal Information
Restrict or Object To Processing of Personal Information

What would you like to do? ^* Unsubscribe From Mailing Lists

Have you made any similar requests to Greenlane in the last 12 months? ^* Yes
No

Please provide us with information that will allow us to verify your identity, such as a recent order #, invoice #, or customer ID OR,
Not Available

Please upload and provide us with (i) documentation verifying your identity (ex. copy of driver’s license, state ID, passport) and

Please let us know if there are any other details you’d like to share with us about your request. For example, please feel free to describe …

Please provide the following information relating to the individual you are representing (not yourself)

Name ^* Last Name ^* Mailing Address ^* Email ^*

What type of request would you like to make? ^* CCPA Request
GDPR Request
None of the above

Your contact information (information regarding the Representative) ^*

Name ^* Last Name ^* Legal name of Company (only if you are acting on behalf of a company): Mailing Address ^* Email ^*

What is your relationship to the individual for whom you are making the request? ^* Parent / Guardian
Spouse / Partner, Sibling or Other Relative
Legal Counsel
Power of Attorney
Other

Please provide information that will allow us to verify the identity of the individual you are representing, such as a recent order #, invoice #, or customer ID OR,
Not Available

Please upload and provide us with (i) Documentation verifying the identity of the individual you are representing (ex. copy of driver’s license, state ID, passport)

Where does the individual your are representing reside? ^* California
The European Economic Area (EEA)
Somewhere else

Which of the following has the individual you are representing interacted with? (select all that apply) Greenlane
Warehouse Goods
Better Life
Aerospaced
HS Products
BioVapor Solutions
Vapeworld
GS Fulfillment
Vibes
QD Products
MSI Imports

What is the relationship of the individual you are representing to Greenlane? ^* Website Visitor
Customer
Employee Or Contractor of Greenlane
Employee of A Corporate Customer
Employee of A Vendor
Other

What would you like to do? ^* Unsubscribe From Mailing Lists
Access Personal Information
Delete Personal Information

What would you like to do? ^* Unsubscribe From Mailing Lists

Has the individual you are representing, on his/her/their own behalf or through a representative, made any similar requests to Greenlane in the last 12 months? ^* Yes
No

Please let us know if there are any other details you’d like to share with us about your request.

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