Personal Information Removal Request Form

Please fill out the form below if you wish to have personal data removed from all Horizon House Publications brands.


All fields and questions marked with an asterisk are required

Information of Requestor
Country:
 *
First Name:
 *
Last Name:
 *
Email†:
 *
 
†We need this to contact you with questions/notification of removal
Requestor Type: *




If selected Other above, please explain:

Contact Information to Remove
First Name: *
Last Name: *
Email address: *
Alternate email used:
Alternate email 2 used:
Country *
Street address: *
Alternate/former street address: