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Limit Personal Information Sharing & Do Not Contact Request Form

Home Privacy Policy Limit Personal Information Sharing & Do Not Contact Request Form

Please complete the form below if you wish to exercise your right to limit personal information sharing or if you wish to add or remove your name from our Do Not Contact List.

Information that your provide on this form will not update your contact information in our records for your accounts.  If you wish to update this information please contact us directly or complete the request through online banking.  

  • LIMIT PERSONAL INFORMATION SHARING REQUEST

  • Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Your choice to limit sharing will not expire. You may exercise your right to limit personal information sharing at any time.

  • Please select one:

  • DO NOT CONTACT REQUEST

  • By adding your information to the Do Not Contact List, you will no longer receive marketing or promotional mailings from MidWestOne Bank. MidWestOne Bank marketing and promotional mailings include promotional offers, information on merchant programs and all Bank newsletters.

  • Please select one:

  • By typing your name below, you are signing this request electronically. You agree that this electronic signature is the equivalent of your physical signature and that you authorize the changes as indicated in the above LIMIT PERSONAL INFORMATION SHARING REQUEST and DO NOT CONTACT REQUEST sections of this page.