EPCOR Annual Check Up Form

It’s time for a mid-year check up! Help us ensure we have up-to-date information for your organization so that you can take full advantage of everything your EPCOR membership has to offer.

General Info (check all that apply)*

Yes, my organization offers Remote Deposit Capture (RDC)Yes, my organization has Third-Party Sender relationshipsNone of the above

Training Contact

Please provide contact information for the person responsible for training at your organization. If you have more than one training contact, please list the person responsible for payments training.

Name

First NameLast Name

Title

Email

example@example.com

Contact Roster

Help ensure everyone at your organization has access to their EPCOR member benefits by reviewing your contact roster. To access the roster your primary contact will need to log into epcor.org and click on the link that says “Hi [Name].” From there they will need to click on your organization’s name and then the contacts tab. If you are not sure who your primary contact is, please contact Member Support (memserve@epcor.org).

Yes, we have reviewed the contact roster

If you need to add or delete contacts, or update information, please list changes here:

	Name	Title	Email	Add	Delete	Update
1
2
3
4
5

Contest Entry

Thank you for reviewing your contact information! We just need one more thing - your contact information - in case we have questions and to enter you for a chance to pick your own sweet treat from Sugar Wish (five gifts available).

Name*

First NameLast Name

Organization*

Email*

example@example.com