Home > Privacy Opt-out Form

Privacy Opt-out Form

"*" indicates required fields

Only submit this form for an initial option selection or when changing a previous election. If you have a joint account with another individual, your request that information not be shared will also apply to the other individual on your joint account.

Account Holder Information

Account Number*

First Name*

Last Name*

Mailing Address*

City*

State*

Select a state or U.S. territory

ZIP/Postal Code*

You have the following options to control how your information is used:

Option One (Affiliate Marketing)

Do not have affiliates market to me

Option Two (Non-affiliate Sharing)

Do not share my information with third parties

Option Three (Affiliate Sharing)

Do not share my information about my credit worthiness with affiliates

CAPTCHA