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6-8135

C-5—Model Form for Voluntary “No Marketing” Notice

[Your Choice to Stop Marketing]
  • [Name of Affiliate] is providing this notice.
  • You may choose to stop all marketing from us and our affiliates.
  • [Your choice to stop marketing from us and our affiliates will apply until you tell us to change your choice.]
To stop all marketing, contact us [include all that apply]:
  • By telephone: 1-(877) ###-####
  • On the Web: www. 
    .com
  • By mail: Check the box and complete the form below, and send the form to:[Company name][Company address]
 Do not market to me.
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