To limit the information we share about you:
• Call 603-595-2274 and our representative will gladly discuss your choices with you
• Visit us online: www.capitaltitleloan.com for additional information
• Fully complete and mail this form to Capital Title Loan, 228 Daniel Webster Highway, Unit 5, Nashua, NH 03060
Customer Name:_________________________ (Print Name) Phone_________________
Customer Address:______________________________________________ (Print Address)
Check the blank(s) below that apply to you and mail this form to us at: 228 Daniel Webster Highway, Unit 5, Nashua, NH 03060.
[___] Do not share information about me or any joint account holder with companies in your corporate family (your “affiliates”) from my credit reports, financial or personal information from my applications, or information from other sources.
[___] Do not share information about me or any joint account holder with unrelated companies or persons so that they may offer their products or services to me or for other purposes.
If you are a new customer, we can begin sharing your information 30 days or more after you receive this notice. When you are no longer our customer, we continue to share your information as described in this notice. However, you can contact us at any time to limit our sharing.