“Do Not Sell or Share My Personal Information” and “Targeted Advertising” Opt Out Rights

As an authorized agent, you may provide the below information on behalf of a consumer which may enable us to take action on their opt-out request more broadly. If you are making this request yourself, please do not use this form. Instead, please visit opt-out form/individual to submit your request.

Authorized Agent's First Name *

Authorized Agent's Last Name *

Authorized Agent's Contact Email Address *

Consumer's First Name *

Consumer's Last Name *

Consumer's Your Email Associated with their NextGenBoss Account *