Website Privacy Request Form

Last Updated on 01.01.21

This form applies to user requests related to information collected on Rakuten Advertising website.

First Name(required)

Last Name(required)

Email(required)

Country of Residence (required)

If US, State of Residence(required)

Action Requests(required)

Confirm that we have your personal information Access to the personal information (or personal data) that we retain about you Correction of inaccurate information associated with my personal information Restriction on further use of my personal information (i.e. withdrawal) Restriction on the sale or sharing of my personal information Deletion of my personal information (or personal data) associated with this identifier

By completing the information above, I certify that: I have the authority under relevant laws, rules and regulations to make the privacy rights request above associated with the information I provided; I am requesting the information for my own lawful purposes; I am not making this request for any fraudulent criminal, malicious or other unlawful purposes. I understand that Rakuten Advertising is unable to complete my request until I have completed all of the requested information.