CCPA | Masseys

California Resident Information Request Form

*Required fields

*First Name

*Last Name

*Address Line 1

*City

*Zip Code

*Email Address

Customer Account Number (optional)

-A2

Two-step verification is required. After successful form submission, please check your email to complete the process.

*Subject to final credit approval.

**Your available credit is determined by subtracting your current balance and any unshipped orders from your credit limit.