Contact Request Form

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Contact Request

SMS Privacy Policy

United Prairie Bank will not use your mobile information for SMS marketing purposes, including no mobile information will be shared with third parties/affiliates for marketing/promotional purposes.

By providing my phone number to United Prairie Bank, I agree and acknowledge that United Prairie Bank may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”.

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Name:

Phone:

Email Address:

Address:

Address 2:

City:

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ZIP:

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