OPT OUT RESPONSE FORM

Print, sign and mail the form below to:

    Member Services
    New Orleans Firemen's Federal Credit Union
    P.O. Box 689
    Metairie, LA 70001

I am exercising my opt out option as permitted by law.

Name:
(Note: Any one listed on the account may elect to opt out on behalf of all account holders).

Account Number:

Please list any additional account numbers for which the opt out will apply:



All accounts on which I am listed



Your signature _____________________________________ Date_________________________



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