Membership Application and Agreement

Membership Application and Agreement
Type of Membership

Financial Instittution - Dues Based on Asset SizeAffiliate Member- Processor/Software VendorAffiliate Member - Corporation, Consultant, Professional Firm, Third Party Sender
Organization Name
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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

Please use this space to list the team members who should be granted access to the PaymentsFirst Information Hub and Website.

If you have more than 3 users, please send list to info@paymentsfirst.org. Required information Name, Email, Phone Number, and Job Title. Users will be sent an invite that is valid for 72 hours to create a username and password.
USER # 1
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Job Title
USER #2
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Job Title
USER # 3
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Job Title

Are you interested in receiving more information about the following services?

Risk & Compliance ServicesEducation ConsultingAAP TrainingAPRP TrainingNCP TrainingElevateU Certificate (ACH, Check, Card)Education Training ClubPublications
Thank you for completing the membership application for PaymentsFirst. Once your application is submitted you will receive an invoice for your membership dues. Please let us know if you have any questions.
Should be Empty:

Please use this space to list the team members who should be granted access to the PaymentsFirst Information Hub and Website.