Order Form- Custom Target Audience Please fill out the form to place your order. Target audience criteria*Please list any criteria for your target audience, such as age, relevant loan categories, dividend applications, etc.Contact method*How will you be contacting these members? Print mail Email Online banking Other (please specify) Specify other contact method* Standard exclusions*Xtend typically excludes members marked deceased, opted out of CU/third-party contact, those that have written off/charged off/delinquent loans, etc. Will you be needing any modifications to this set of standard exclusions? Yes, these exclusions will need to be modified. No, these exclusions will not need to be modified. Format*In which format would you like this information? Excel document CU*BASE file Requested completion date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Credit Union name*The full name of your Credit Union. CEO*The name of your Credit Union's CEO. First Last Contact name*The name of our contact for this project. First Last Contact phone number*The phone number of our contact for this project.Contact email*The email address of our contact for this project. Consent* I have reviewed this form and my answers, and give approval on behalf of my credit union for Xtend to draft a contract based on the submitted information.