Privacy Policy Opt Out Form

Please complete the form below with your personal information, so we can easily locate your record in our system to properly set the choices you make regarding the sharing of your non-public personal information.

* Indicates a required field.

* First Name:	MI:	* Last Name:
* Address:
*City:	*State:	* Zip:
*Phone Number (incl. area code):
Select your preferences: For Marketing Purposes – To Offer Mariner's Bank Products and Services to me: I choose to opt outI choose NOT to opt out
For Non-Affiliates to Market to Me: I choose to opt outI choose NOT to opt out
Your selections will be processed within 30 days of receipt and will remain on record until you contact us to change your selections. If you choose to opt out of Mariner's Bank Marketing Purposes, you will continue to receive notices that we are legally required to provide to you and you will continue to receive inserts in your monthly account statement(s), as well as any marketing directly from the bank that does not involve information sharing. Your selections will be applied to you and anyone with whom you jointly hold account(s) with. Your selections can be changed at any time.