Privacy Form
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Country
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United States
United Kingdom
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Other Countries
I am a *
I am a
*
Member
Chair
Marketing Recipient
Speaker
Job applicant
Vistage employee
Vistage Employees Only - Are you filing this on behalf of a requestor?
Vistage Employees Only - Are you filing this on behalf of a requestor?
Yes
No
Vistage Employees - Your Name: *
Vistage Employees - Your Name:
*
Choose one request type*
Choose one request type
*
Update Data
Info Request
Data Deletion
Data Access (DSAR)
File a Complaint
Marketing Unsubscribe
Are you a current or former employee of Vistage?
Are you a current or former employee of Vistage?
Current Employee
Former Employee
First Name*
First Name
*
Last Name*
Last Name
*
Contact Email*
Contact E
mail
*
To protect your private information and authenticate your request, please provide the following additional information:
Provide Associate ID (found in your ADP profile).
Provide Associate ID (found in your ADP profile).
Provide your former employee email.
Provide your former employee email.
Provide last date of employment or last pay rate.
Provide last date of employment or last pay rate.
What is the name of the most recent employer you listed on the application?
What is the name of the most recent employer you listed on the application?
List the name of the High School you listed within your application.
List the name of the High School you listed within your application.
List the name of your company or Sponsoring Company.
List the name of your company or Sponsoring Company.
List your current/former Group Number
List your current/former Group Number
Or provide current email listed in your My Vistage account or which you last provided to Vistage.
Or provide current email listed in your My Vistage account or which you last provided to Vistage.
List your current/former Vistage Chair email.
List your current/former Vistage Chair email.
List your current/former Group Number/s. (optional)
List your current/former Group Number/s. (optional)
Or provide the company name you used to engage with Vistage.
Or provide the company name you used to engage with Vistage.
List the name of your company or company you work for.
List the name of your company or company you work for.
Do you want to know about categories or types of Personal Information that Vistage has collected on you or do you want specific pieces of Personal Information collected?
Do you want to know about categories or types of
Personal Information that Vistage has collected on you or do you want
specific pieces of Personal Information collected?
Types/Categories of information
Specific pieces of information
Do you want to delete all data associated with your account or do you want to delete only certain pieces of data?
Do you want to delete all data associated with your account or do you want to delete only certain pieces of data?
Delete all data associated with your account
Delete only certain pieces of data
Do you want to be unsubscribed from all communications or a particular newsletter?
Do you want to be unsubscribed from all communications or a particular newsletter?
All communications
Particular newsletter
Provide the company name you used to engage with Vistage.
Provide the company name you used to engage with Vistage.
Provide current email listed in your My Vistage account or which you last provided to Vistage.
Provide current email listed in your My Vistage account or which you last provided to Vistage.
Request Details (5000 character limit)*
Request Details (5000 character limit)
*
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Please enter the numbers shown below before submitting: