Privacy Electronic Form

Mail-in Form
Leave Blank OR
(if you have a joint account, your choice will apply to everyone on your account unless you mark below)

______   Apply my choices only to me
Mark if you want to limit:

          ____ Do not allow your affiliates to use my personal information to market me
Name Mail to:
Oneida Savings
PO Box 240
Oneida NY
City, State, Zip 
Account Number
(Last 4 digits of one account)