WEB FORM: Privacy Opt-Out Election Form

Please fill out the form below and click submit. All fields marked with an asterisk are required.

1. Mark any/all you want to limit *This question is required.

Do not use my personal information to market to me.
Do not share information about my transactions and experiences with your affiliates for their everyday business purposes.
Do not share information about my creditworthiness with your affiliates for their everyday business purposes.
Do not allow your affiliates to use my personal information to market me.

2. Name *This question is required.

3. Street Address *This question is required.

4. City *This question is required.

5. State *This question is required.

6. Zip Code *This question is required.

7. Member Number(s)* *This question is required.

Please note - if you already completed the Privacy Opt Out Election form, you don't need to complete another one. Your preferences will remain the same until you tell us otherwise.