ONLY SUBMIT THIS FORM WHEN CHANGING A PREVIOUS OPTION OR FOR INITIAL OPTION ELECTION Primary Account Holder Information Account Number First Name Last Name MI Mailing Address City State Select a State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY Zip Code E-Mail Address Joint Account Holder Information (if applicable) First Name Last Name MI Mailing Address City State Select a State AK AL AR CA AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY Zip Code E-Mail Address Any joint account owner can request that information not be shared on behalf of the other joint holder by completing the joint holder's account information above. You have the following options to control how your information is used: •Option # 1 (Affiliate Marketing): You may direct our affiliated companies not to market their products and services to you. Selecting this option will also direct us not to share your third-party consumer report information with our affiliated companies. We will honor your direction until you notify us of a change. 1. Affiliates may market to me. 2. Do not have affiliates market to me. • Option # 2 (Third-Party Sharing): You may direct us not to share your information with unaffiliated third parties. We will honor your direction until you notify us of a change. 1. Share my information with third parties. 2. Do not share my information with third parties.
ONLY SUBMIT THIS FORM WHEN CHANGING A PREVIOUS OPTION OR FOR INITIAL OPTION ELECTION
Joint Account Holder Information (if applicable)
•Option # 1 (Affiliate Marketing): You may direct our affiliated companies not to market their products and services to you. Selecting this option will also direct us not to share your third-party consumer report information with our affiliated companies. We will honor your direction until you notify us of a change.
• Option # 2 (Third-Party Sharing): You may direct us not to share your information with unaffiliated third parties. We will honor your direction until you notify us of a change.