E Federal Credit Union

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					                          Cecil County School Employees’ Federal Credit Union
                                                      203 Booth Street
                                                     Elkton, MD 21921
                                                     Fax: 410-398-0032

We need your help! Your CCSE Federal Credit Union is in the process of developing an e-mail database of our membership so
that we can let you know via e-mail when new products or special loan rates become available. In the future, you will also have
a choice of receiving your monthly and/or quarterly statement via e-mail in a much more timely manner.

The information provided below will be collected and disclosed in strict accordance with the Credit Union’s privacy policy and
practices, with the exception that the information below may be disclosed to The Financial Planning Center, an affiliate of the
Credit Union.

Please print out this form and complete the information below. Mail or fax it to your Credit Union or drop it off during your next
visit. We appreciate your assistance in providing this information so that we can improve our service to our members.
Thank you.

Name: ____________________________________________________________
Address: __________________________________________________________
City: _______________________________ State ________ Zip _____________
e-mail address: _____________________________________________________
Yes ___ No ___ I would like to receive my monthly/quarterly statement via e-mail.

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