PaymentsFirst Membership Application and Agreement

Membership Application and Agreement
Type of Membership

Financial Institution - Dues Based on Asset SizeProcessor Member- Processor/Software VendorAssociate Member - Corporation, Consultant, Professional Firm, Third Party Sender
Organization Name
Name

First NameLast Name
Accreditation - AAP, AFPP, APRP, or NCP
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Website
If Financial Institution - ABA (Routing Number)
If you are a Third-Party Sender, please list your ODFI (Originating Financial Institution)
The institution named above makes this application for membership to
PaymentsFirst, and herein agrees:

1. To be bound by the NACHA Operating Rules and other payment regulations.
2. To pay member dues levied by the PaymentsFirst Board of Directors annually.
3. Unless otherwise terminated by PaymentsFirst, this membership is to remain in
full force and effect until the Organization has given PaymentsFirst 90-day
written notice of its membership termination.

Dues are non-refundable once the current billing year is in force.
Signature

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Name

First NameLast Name
Title