Privacy Request Form
* Required Fields
Inquiry Type
*
Select One
Privacy Deletion
Right to Know
Items
*
Select One
All
Address
Home Phone
Mobile Phone
Email
CITGO Category Source
*
Select One
Fuels
Lubricants
Mystik
Clarion
Other
CITGO Category Source (Other)
Have you contacted CITGO in the last 12 months?
Select One
Yes
No
Contact Reason
Full Name
*
Alias Name(s)
Email Address
*
Additional Email Addresses
Phone Number
Mobile
Country
*
Select One
United States
Canada
Mexico
City
*
State/Province
*
Zip/Postal Code
*
CONSUMER ACKNOWLEDGMENT STATEMENTS
*
Please select an inquiry type above.
In submitting this form, I acknowledge the information I provide on this form validates who I am.
CALIFORNIA CONSUMER ACKNOWLEDGMENT STATEMENT
*
Under penalty of perjury, I attest that I am a California resident as defined in Section 17014 of Title 17 of the California Code of Regulations.
© CITGO Petroleum Corporation