Opt Out Form

Completing this form will opt you out of having Nelnet Bank share your information with third parties for marketing purposes.

Account Holder Information

Account Number or Loan Number (Optional)

First Name*

Last Name*

Mailing Address*

City*

State*

Zip Code*

Email Address*

Email Address 2 (Optional)

Please choose from the following options, and let us know how you want your information to be used:

Affiliate Marketing Choose whether you would like companies affiliated with Nelnet Bank to market their products and services to you.

Do not have affiliates market to me

Do not have affiliates market to me and my joint account holder(s)

Non-affiliate Sharing Choose if you would like companies which are not affiliated with Nelnet Bank to market their products and services to you.

Do not share my information with third parties

Do not share my information and my joint account holders(s) information with third parties

Affiliate Sharing Choose whether you would like information about your creditworthiness shared with affiliates.

Do not share information about my creditworthiness with affiliates.

Do not share my information and my joint account holder(s) information about our creditworthiness with affiliates.

Joint Account Holder Information

Completing this information will apply to each item above that is marked to opt out for joint account holders

How many joint account holders?

One joint account holder

Two joint account holders

Joint Account Holder One

First Name*

Last Name*

Email Address*

Is joint account holder one at the same address as above?

Yes

No

Mailing Address*

City*

State*

Zip Code*

Joint Account Holder Two

First Name*

Last Name*

Email Address*

Is joint account holder two at the same address as above?

Yes

No

Mailing Address*

City*

State*

Zip Code*

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Nelnet Bank, and any associated logos or design marks, are trademarks or service marks of Nelnet, Inc. All loan programs and terms are subject to change or may be discontinued at any time without notice. Certain restrictions and limitations may apply.

Deposit products offered by Nelnet Bank, Member FDIC.