Privacy Request Form: Access/Delete and Other Data Protection Rights

Please complete the form below to submit your privacy request. Please note that, in order to process your request, you may be required to provide additional information, if necessary, to verify your identity. The information that you provide below will be used solely for the purpose of fulfilling your request.

To learn more about and/or exercise any other data protection rights that may be applicable to you as an End User, please refer to our Privacy Policy or email us at

By submitting this form, I confirm that I have read and understood PA Merchant Coalition’s privacy policies.

Request Types: Additional Information
  • This form is related to the data PAMC has collected and stored about you.
  • Deletion of data is not reversible, and if requested, this will permanently delete your personal data from PAMC’s systems which may impact your ability to use products or services provided by PA Merchants Coalition.