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C-3—Model Form for Renewal Notice (Single-Affiliate Notice)

[Renewing Your Choice to Limit Marketing]/[Renewing Your Marketing Opt-Out]
  • [Name of affiliate] is providing this notice.
  • [Optional: Federal law gives you the right to limit some but not all marketing from our affiliates. Federal law also requires us to give you this notice to tell you about your choice to limit marketing from our affiliates.]
  • You previously chose to limit our affiliates in the [ABC] group of companies, such as our [credit card, insurance brokerage, and securities brokerage] affiliates, from marketing their products or services to you based on your personal information that we share with them. This information includes your [income], your [account history], and your [credit score].
  • Your choice has expired or is about to expire.
To renew your choice to limit marketing for [x] more years, contact us [include all that apply]:
  • By telephone: 1-877-###-####
  • On the web: www. 
    .com
  • By mail: Check the box and complete the form below, and send the form to:[Company name][Company address]

 Renew my choice to limit marketing for [x] more years.

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