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Personal Information Removal Request Form
Please fill out the form below if you wish to have personal data removed from all Future US brands.
All fields and questions marked with an asterisk are required
Information of Requestor
Country:
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Please Select a Country
United States
Canada
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
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Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
Brazil
British Virgin Islands
British West Indies
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cabo Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Democratic Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
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Estonia
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Falkland Islands
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Fiji
Finland
France
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French Polynesia
French Southern Territories
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Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
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Hungary
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Indonesia
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Ireland
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
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Jordan
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Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Republic of North Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Northern Mariana Islands
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Netherlands W Indies
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paracel Islands
Paraguay
Benin
Peru
Philippines
Pitcairn Island
Poland
Portugal
Ppls Dem Rpbl Korea
Qatar
Republic of Korea
Réunion
Romania
Maldives
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts And Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratley Islands
Sri Lanka
Saint Vincent and the Grenadines
Sthrm/antarctic Lnd
Sudan
Oman
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo Republic
Tokelau Islands
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Kingdom
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis And Futuna
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
First Name:
*
Last Name:
*
Email
†
:
*
†We need this to contact you with questions/notification of removal
Requestor Type:
*
Myself
A client
A family member
A friend
Other
If selected Other above, please explain:
Contact Information to Remove
First Name:
*
Last Name:
*
Email address:
*
Alternate email used:
Alternate email 2 used:
Country
*
Select a Value...
United States
Canada
Aden
Afghanistan
Albania
Aland Islands
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Arab Rpblc Of Yemen
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Balearic Islands
Bangladesh
Barbados
Belarus
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Bouvet Island
Br Ind Ocean Terr
Brazil
British Solomon Isl
British Virgin Isl
British West Indies
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Byelorussion
Cambodia
Cameroon
Canal Zone
Canary Islands
Canton/enderbury I
Cape Verde Islands
Carolina Islands
Cayman Islands
Cent African Rpblc
Chad
Channel Islands
Chile
Christmas Island
Cocos (keeling) Isl
Colombia
Comoro Islands
Congo Republic
Cook Islands
Costa Rica
Cote D'ivoire
Crete, Greece
Croatia
Cuba
Curacao
Cyprus
Czech Fed Republic
Czech Republic
Dahomey
Denmark
Djibouti
Dominica
Dominican Republic
Dubai
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fernando Po
Fiji
Finland
France
French Guiana
French Polynesia
French West Indies
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Gr Cayman, W Indies
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Heard & Mcdonald Is
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Iraq-saudi Arabia
Ireland
Irian Jaya
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
Johnston Atoll
Jordan
Kazakhstan
Kenya
Khmer Republic
Kiribati
KOSOVO
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Mariana Islands
MARSHALL ISLAND
Martinique, Fwi
Mauritania
Mauritius
Mexico
MICRONESIA
Midway Islands
Moldavia
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
Netherlands W Indies
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue /new Zealand
Norfolk Island
Northern Ireland
Norway
Okinawa, Japan
Pakistan
Palestine
Panama
Papeete, Fr Plyns
Papua New Guinea
Paracel Islands
Paraguay
Peoples Rpblc Benin
Peoples Rpblc China
Peoples Rpblc Yemen
Peru
Philippines
Pitcairn Island
Poland
Portugal
Ppls Dem Rpbl Korea
Qatar
Republic Of Korea
Republic Of Zaire
Reunion
Romania
Rpblc Of Maldives
Russia
Rwanda
Samoa
San Marino
Sao Tome E Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Sikkim, India
Singapore
Slovak Fed Republic
Slovakia
Slovenia
Somalia
South Africa
South Sudan
South West Africa
Spain
Spratley Islands
Sri Lanka
St Chr.-nevs-angila
St Helena
St Kitts And Nevis
St Lucia
St Pierre/miquelon
St Vincent
Sthrm/antarctic Lnd
Sudan
Sultanate Of Oman
Suriname
Svalbard/jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Rpblc
Tahiti
Taiwan
TAJIKISTAN
Tajikistan
Tanzania
Thailand
Togo Republic
Tokelau Islands
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Isl
Tuvalu
Uganda
Ukraine
United Kingdom
Untd Arab Emirates
Uruguay
Ussr
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wake Island
Wales
Wallis And Futuna
Western Sahara
Yugoslavia
Zambia
Zimbabwe
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Alternate/former street address: