fanduelgroup.formstack.com
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65.9.66.120
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URL:
https://fanduelgroup.formstack.com/forms/ccpa_dfs_opt_out
Submission: On September 30 via manual from HK — Scanned from DE
Submission: On September 30 via manual from HK — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://fanduelgroup.formstack.com/forms/index.php
<form method="post" novalidate="" enctype="multipart/form-data" action="https://fanduelgroup.formstack.com/forms/index.php" class="fsForm fsMultiColumn fsMaxCol2" id="fsForm3679035">
<input type="hidden" name="form" value="3679035">
<input type="hidden" name="viewkey" value="Y5xPe8EVZM">
<input type="hidden" name="password" value="">
<input type="hidden" name="hidden_fields" id="hidden_fields3679035" value="">
<input type="hidden" name="incomplete" id="incomplete3679035" value="">
<input type="hidden" name="incomplete_email" id="incomplete_email3679035" value="">
<input type="hidden" name="incomplete_password" id="incomplete_password3679035">
<input type="hidden" name="referrer" id="referrer3679035" value="">
<input type="hidden" name="referrer_type" id="referrer_type3679035" value="link">
<input type="hidden" name="_submit" value="1">
<input type="hidden" name="style_version" value="3">
<input type="hidden" id="fsLatitude" name="latitude" value="">
<input type="hidden" id="fsLongitude" name="longitude" value="">
<input type="hidden" id="viewparam" name="viewparam" value="880386">
<div id="requiredFieldsError" style="display:none;">Please fill in a valid value for all required fields</div>
<div id="invalidFormatError" style="display:none;">Please ensure all values are in a proper format.</div>
<div id="resumeConfirm" style="display:none;">Are you sure you want to leave this form and resume later?</div>
<div id="resumeConfirmPassword" style="display: none;">Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.</div>
<div id="saveAndResume" style="display: none;">Save and Resume Later</div>
<div id="saveResumeProcess" style="display: none;">Save and get link</div>
<div id="fileTypeAlert" style="display:none;">You must upload one of the following file types for the selected field:</div>
<div id="embedError" style="display:none;">There was an error displaying the form. Please copy and paste the embed code again.</div>
<div id="applyDiscountButton" style="display:none;">Apply Discount</div>
<div id="dcmYouSaved" style="display:none;">You saved</div>
<div id="dcmWithCode" style="display:none;">with code</div>
<div id="submitButtonText" style="display:none;">Submit</div>
<div id="submittingText" style="display:none;">Submitting</div>
<div id="validatingText" style="display:none;">Validating</div>
<div id="autocaptureDisabledText" style="display:none;"></div>
<div id="paymentInitError" style="display:none;">There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.</div>
<div id="checkFieldPrompt" style="display:none;">Please check the field: </div>
<div id="translatedWord-fields" style="display:none;">Fields</div>
<div class="fsPage" id="fsPage3679035-1">
<div id="ReactContainer3679035" style="display:none" class="FsReactContainerInitApp" data-fs-react-app-id="3679035"></div>
<div class="fsSection fs2Col">
<div id="fsRow3679035-1" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell85524581" lang="en" fs-field-type="richtext" fs-field-validation-name="">
<p style="text-align: center;"><img src="https://s3.amazonaws.com/files.formstack.com/public/880386/image_fdglogo.png" class="fr-fic fr-dii"></p>
<p style="text-align: center;">If you are a California resident, the California Consumer Privacy Act (“CCPA”) provides you the right to opt out of our sharing of your personal information with third parties where such sharing would be
considered a “sale” under the CCPA. If you are a California resident, we have created the form below to assist you in submitting these requests. Please see the “<u>Privacy Information for California Residents</u>” section of our Privacy
Policy for more information about these rights.</p>
</div>
<div class="fs-clear"></div>
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<div id="fsRow3679035-2" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell85524583" lang="en" fs-field-type="richtext" fs-field-validation-name="">
<p style="text-align: center;"><strong>Unaffiliated Third Party Data Sharing Opt Out</strong></p>
<p style="text-align: center;">To opt out of our future sharing of your personal information with third party partners, marketers, and others who use your personal information to provide you with relevant offers and promotions, or to
provide us with additional information about you so that we can better serve you, please provide us with the following:</p>
</div>
<div class="fs-clear"></div>
</div>
<div id="fsRow3679035-3" class="fsRow fsFieldRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell85524585" lang="en" fs-field-type="name" fs-field-validation-name="Name">
<span id="label85524585" class="fsLabel fsRequiredLabel">Name<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsNameFirst">
<input type="text" id="field85524585-first" name="field85524585-first" size="20" aria-label="First Name" value="" required="" class="fsField fsFieldName fsRequired" aria-required="true">
<label class="fsSupporting fsRequiredLabel" for="field85524585-first">First Name<span class="hidden">*</span></label>
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<div class="fsSubField fsNameLast">
<input type="text" id="field85524585-last" name="field85524585-last" size="20" aria-label="Last Name" value="" required="" class="fsField fsFieldName fsRequired" aria-required="true">
<label class="fsSupporting fsRequiredLabel" for="field85524585-last">Last Name<span class="hidden">*</span></label>
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<div class="clear"></div>
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<div class="fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan50" id="fsCell85524588" lang="en" fs-field-type="datetime" fs-field-validation-name="Birthdate">
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<legend id="fsLegend85524588" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Birthdate<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<!-- Used to pull in url for jquery -->
<span aria-hidden="true" style="display:none;" id="fsCalendar85524588ImageUrl">https://fanduelgroup.formstack.com/forms/images/2/calendar.png</span>
<input data-skip-validation="" data-date-format="m/d/YY" type="hidden" id="field85524588Format" name="field85524588Format" value="MDY">
<div class="hidden"><label for="field85524588M">Month</label></div>
<select id="field85524588M" name="field85524588M" class=" fsField fsRequired" aria-required="true">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<div class="hidden"><label for="field85524588D">Day</label></div>
<select id="field85524588D" name="field85524588D" class=" fsField fsRequired" aria-required="true">
<option value=""> </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<div class="hidden"><label for="field85524588Y">Year</label></div>
<select id="field85524588Y" name="field85524588Y" class=" fsField fsRequired" aria-required="true">
<option value=""> </option>
<option value="1922">1922</option>
<option value="1923">1923</option>
<option value="1924">1924</option>
<option value="1925">1925</option>
<option value="1926">1926</option>
<option value="1927">1927</option>
<option value="1928">1928</option>
<option value="1929">1929</option>
<option value="1930">1930</option>
<option value="1931">1931</option>
<option value="1932">1932</option>
<option value="1933">1933</option>
<option value="1934">1934</option>
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
</select>
<input data-skip-validation="" type="text" id="fsCalendar85524588Link" class="fsCalendarPickerLink hasDatepicker" style="display:none;" aria-hidden="true"><img class="ui-datepicker-trigger"
src="https://fanduelgroup.formstack.com/forms/images/2/calendar.png" alt="Select Date" title="Select Date" aria-hidden="true">
<div id="fsCalendar85524588" class="fsCalendar" style=" position:absolute"></div>
</div>
</fieldset>
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<div class="fs-clear"></div>
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<div id="fsRow3679035-4" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan50" id="fsCell85524586" lang="en" fs-field-type="text" fs-field-validation-name="FanDuel Username">
<label id="label85524586" class="fsLabel fsRequiredLabel" for="field85524586">FanDuel Username<span class="fsRequiredMarker">*</span> </label>
<input type="text" id="field85524586" name="field85524586" size="50" required="" value="" class="fsField fsFormatText fsRequired " aria-required="true">
<p>
<label for="field85524586_confirm" class="fsLabel fsRequiredLabel"> Confirm <span>*</span>
</label>
<input type="text" id="field85524586_confirm" name="field85524586_confirm" size="50" required="required" class="fsFieldConfirm fsField fsFormatText fsRequired " aria-required="true">
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<div class="fs-clear"></div>
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<div id="fsRow3679035-5" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell85524584" lang="en" fs-field-type="email" fs-field-validation-name="Email">
<label id="label85524584" class="fsLabel fsRequiredLabel" for="field85524584">Email<span class="fsRequiredMarker">*</span> </label>
<input type="email" id="field85524584" name="field85524584" size="50" required="required" value="" class="fsField fsFormatEmail fsRequired" aria-required="true">
<p>
<label for="field85524584_confirm" class="fsLabel fsRequiredLabel"> Confirm Email <span>*</span>
</label>
<input type="email" id="field85524584_confirm" name="field85524584_confirm" size="50" required="required" class="fsField fsFieldConfirm fsFormatEmail fsRequired" aria-required="true">
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<div class="fs-clear"></div>
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<div id="fsRow3679035-6" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell85524582" lang="en" fs-field-type="address" fs-field-validation-name="Valid California Address">
<span id="label85524582" class="fsLabel fsRequiredLabel">Valid California Address<span class="fsRequiredMarker">*</span></span>
<div class="fsSubFieldGroup">
<div class="fsSubField fsFieldAddress">
<input type="text" id="field85524582-address" aria-label="Address Line 1" name="field85524582-address" size="50" value="" required="" class="fsField fsFieldAddress fsRequired" aria-required="true">
<label class="fsSupporting" for="field85524582-address">Address Line 1</label>
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<div class="fsSubField fsFieldAddress2">
<input type="text" id="field85524582-address2" aria-label="Address Line 2" name="field85524582-address2" size="50" value="" class="fsField fsFieldAddress2">
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<div class="fsSubField fsFieldCity">
<input type="text" id="field85524582-city" name="field85524582-city" size="15" aria-label="City" value="" required="" class="fsField fsFieldCity fsRequired" aria-required="true">
<label class="fsSupporting" for="field85524582-city">City</label>
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<select id="field85524582-state" aria-label="State" name="field85524582-state" required="" class="fsField fsFieldState fsRequired" aria-required="true">
<option value=""> </option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands (US)</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces (the) Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
<option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
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<label class="fsSupporting" for="field85524582-state">State</label>
</div>
<div class="fsSubField fsFieldZip">
<input type="text" id="field85524582-zip" aria-label="ZIP Code" name="field85524582-zip" size="6" value="" required="" class="fsField fsFieldZip fsFormatZipUS fsRequired" aria-required="true">
<label class="fsSupporting" for="field85524582-zip">ZIP Code</label>
</div>
</div>
<div class="clear"></div>
</div>
<div class="fs-clear"></div>
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<div id="fsRow3679035-7" class="fsRow fsFieldRow fsLastRow">
<div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell85524589" lang="en" fs-field-type="checkbox" fs-field-validation-name="Confirmation">
<fieldset role="group" aria-labelledby="fsLegend85524589" id="label85524589">
<legend id="fsLegend85524589" class="fsLabel fsRequiredLabel fsLabelVertical"><span>Confirmation<span class="fsRequiredMarker">*</span></span></legend>
<div class="fieldset-content">
<label class="fsOptionLabel vertical" for="field85524589_1"><input type="checkbox" id="field85524589_1" name="field85524589[]"
value="I certify under penalty of perjury that I am a California resident, that all information I have submitted is true and accurate, and that I am the individual, or authorized agent of the individual, whose information is the subject of this request."
class="fsField fsRequired vertical" aria-required="true">I certify under penalty of perjury that I am a California resident, that all information I have submitted is true and accurate, and that I am the individual, or authorized
agent of the individual, whose information is the subject of this request.</label>
</div>
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<div class="fs-clear"></div>
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<input id="fsSubmitButton3679035" class="fsSubmitButton" style="" type="submit" value="Submit">
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