New Contact Form - Black Diamond

Purpose of your message?*
Title
First Name*
Last Name*
Address*
Address
City*
State*
Zip Code*
Product*
Best By Date*
Date Format: MM/DD/YYYY
Best By Date Examples
Manufacturing Code*
Manufacturing Code Examples:
Purchase Date*
Date Format: MM/DD/YYYY
UPC Code*
UPC Code Example:
Store Name*
Store Location: City, State*
Message*
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Attachment
Max. file size: 5 MB.
Please upload any images that may help communicate with the customer support team.
Data Consent & Confirmation*
- I agree, Lactalis American Group can contact me via email or phone. The personal information collected from this form will be recorded and transferred to Lactalis American Group, Inc. for the sole purpose of processing this request in accordance with our Privacy Policy.
The personal information collected from this form will be recorded and transferred to Lactalis American Group, Inc. for the sole purpose of processing your request. In accordance with the GDPR and CCPA, you have the right to access, modify and/or remove any personal information you have provided to us. You also have the right to restrict the processing of your personal information, the right to portability of your information and the right to object to the information collected. To exercise these rights, you may contact us by phone at (716) 823-6262 or by physical mail at Lactalis American Group, Inc. 2376 South Park Avenue. Buffalo, NY 14220. For more information, please consult our Data Privacy Policy.
Preferred Method of Contact*
- Email Only
- Phone Only
- Email or Phone
Phone*
Email*