| 
                                                    
                                                 | 
                                                
                                                    
                                                         
                                                        I certify that the information provided below relates to an individual consumer.  If I am an authorized agent acting on behalf of an individual, I have been given written consent by the individual to submit the information to Acxiom and have been approved by Acxiom to submit opt out requests as a third party.  For instructions to become an “Authorized Agent” please visit https://www.acxiom.com/data-privacy-ethics/california-consumer-privacy-act/for-consumers/.
                                                        
                                                    
                                                 | 
                                                
                                                      |