CCPA Opt Out

California Consumer Privacy Act Opt-Out Form

We need to collect some personal information to process your Opt-Out request. However, we will not sell, license, or distribute the information submitted on this page in any form.

Please enter name and home address (no company, organization or business addresses) for one individual only per submission – if need to suppress multiple names, please enter separately and submit multiple times. Please do not enter any information that does not apply to the field type.

Please enter only valid California addresses.

Name Prefix
First Name*
Middle Name (or Initial)
Last Name*
Name Suffix
Email Address
Phone Number
Date of Birth
Address (California Residents Only)
Address
Address Line 1* Address Line 2* City* State* Zipcode*
By submitting the web form, I confirm that I am the person whose name appears on the form, I am a resident of California, and that the information I have provided is accurate. If submitting on behalf of a minor under age 13, I certify that I am the custodial parent or legal guardian and that I have full legal authority to submit this request and to receive the requested information. I understand that I may be contacted to validate my identity. I consent to having Beach List Direct, Inc. collect and store my information provided to maintain a suppression list.

Accessing my personal information? California Residents may request access to their personal information we have about you by contacting us at hello@beachlistdirect.com.
Personal Information*
- Please do not sell my personal information*