As a member, you may voluntarily share your personal information with us, including your name and email address. Under the California Consumer Privacy Act (“CCPA”), California residents have certain special rights related to their personal information.

Under CCPA, “personal information” includes, but is not limited to, names, postal and addresses, IP addresses, and social security or other identification numbers. “Sell” is broadly defined under CCPA. Its meaning includes “…renting, releasing, disclosing, disseminating, making available, (and) transferring…”

If you’re a California resident, some of your interactions with Survey Roundtable will be governed by CCPA. Specifically, in connection with research related services we provide to our clients, we might, from time to time, provide some personal information about you to our clients or other collaboration partners, such as your contact information or certain combinations of anonymized or pseudonymized demographic and other information.

As a California consumer, you have the right to opt-out of this “sale” of your personal information. You may exercise this right by filling out the webform below, or by contacting us at 877-416-6355. If you choose to exercise your right to opt-out (either directly or via an authorized agent), we may request certain personal information such as your name and email address in order to verify that you (and, as applicable, your agent) do in fact authorize the request.

For more information about how we collect, use, and store your personal information, and your rights as a California consumer, please visit our privacy policy.

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Please provide your information below.

By submitting this 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. I understand that Survey Roundtable will contact me at the email address provided to verify I am the person making this request.