Marketing Opt-Out Form

I have reviewed the privacy notice for each account or product noted, I am requesting that the sharing of personal information be limited as follows:

Social Security No.:

Check next to the appropriate statement or statements to indicate your preference(s)

Do not share information with non-affiliated third parties

Do not share information with affiliates (except as permitted by law)

Name
Address

Mail this form to:

Correspondence Department
PO Box 89940
Sioux Falls, SD 57109

or call

800-536-6020

Privacy Policy Effective 02/08/2007