MAI Capital Privacy Policy Form

First Name*

Last Name*

Email*

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Request*

Making Request on My Own Behalf

Making Request on Another’s Behalf As Authorized Agent

Rights Request (each, only to the extent legally applicable)*

Right to Confirm

Right to Request Access (Data Portability)

Right to Request Deletion

Right to Request Correction

Description of Request*

Certification*

I declare that the information given by me is correct to the best of my knowledge, and that I am entitled to make the request identified above under the laws applicable to me.