Form

Opt Out Form

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

Account Number or Loan Number (optional)

First Name*

Last Name*

Street Address*

City*

State/Region*

Postal 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.

How many joint account holders?

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

1 joint account holder

2 joint account holders

Joint Account Holder 1: First Name*

Last Name*

Email Address*

Joint Account Holder 2: First Name*

Last Name*

Email Address*

Is joint account holder 1 at the same address as above?

Yes

Joint Account Holder 1 Street Address*

Joint Account Holder 1 City*

Joint Account Holder 1 State*

Joint Account Holder 1 Zipcode*

Is joint account holder 2 at the same address as above?

Yes

Joint Account Holder 2 Street Address*

Joint Account Holder 2 City*

Joint Account Holder 2 State*

Joint Account Holder 2 Zipcode*