Opt-Out Reply Form
Print this form, complete the information and mail to the address below.
How to Request That Your Information Not Be Shared (If you have previously informed us of your preferences, you do not need to do so again.)
If you do not want HSBC Bank to share your non-public personal information as described in the HSBC Bank Privacy Statement (unless we are permitted or required by law to do so), please let us know by printing this form, completing the information below, and mailing this form to:
HSBC Card Services
Attn: Opt-Out Dept.
P.O Box 60173
City of Industry, CA 91716-0173
We will be happy to comply with your “opt-out” request, which will only apply to the HSBC Credit Card account you have designated below by account number. An opt-out request by any party on a joint account will apply to all parties on the joint account.
Please do not include any other correspondence with your request, and do not include this form with your payment. Please allow sufficient time to process your request.
Information Sharing with Our Affiliates
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I do not want my credit information (e.g., credit bureau information) shared with other Affiliates. [This request will not apply to the sharing of information about your transactions or experience with us (e.g., Account information, Account usage, or payment history).] Vermont residents are automatically opted out from information sharing with our Affiliates. |
Information Sharing with Non-Affiliates
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I do not want my non-public personal information (e.g., name and address) shared with non-Affiliates. I understand that this may exclude me from receiving valuable offers. California and Vermont residents are automatically opted out from information sharing with non-Affiliates. |
Please print clearly.
My account number is:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
_____________________________________________________
Name (as it appears on your credit card)
_____________________________________________________
Address
_____________________________________________________
City State Zip
(________)_____________________________________________
Telephone Number (including area code)
