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Privacy Notice Opt-Out Form

You can limit personal information shared with our affiliates.

Take more control over your personal information.

Use this form to reduce the amount of personal information our affiliates can access. Please read all the details before submitting.

Consumer Privacy Notice—Limit Information Sharing

To limit sharing of your personal information to our affiliates as described in the Member Privacy Notice, please complete the form below.

  • First Name is a required field
  • Last Name is a required field
    • Phone Number is a required field
    Your choice will apply to all of your accounts including joint owners unless you tell us otherwise by your selection below.
    • To opt-out all account owners, select yes. To opt-out only yourself, select no. *Required is a required field
    Your choice will remain in effect until you revoke it by mailing your opt-in request in writing to:
    Suffolk Credit Union
    PO Box 9005
    Medford, NY 11763
    If you are a new member, we can begin sharing your information 30 days from the date you receive this notice. When you are no longer our member, we may continue to share your information as described in this notice. However, you can contact us at any time to limit our sharing.
    Contact us at 631.924.8000 with questions relating to this form.
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