Prospect Member Form

Prospect Member Form
Type of Organization

Financial InstitutionAffiliate - Processor/ Software VendorAffiliate - Corporation/ Consultant/ Professional Firm/ Third Party Sender
Organization Name
Name

First NameLast Name
Email
example@example.com
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 Third Party Sender - List ODFI (Originating Financial Institution)
I am interested in receiving more information about the following services:

Risk & Compliance Services (Audits and Risk Assessments)AAP Study ProgramAPRP Study ProgramNCP Study ProgramEducation ConsultingElevateU Certificate - ACH, Check, CardPublication
Thank you for your interest in becoming a member of PaymentsFirst. A team member will be in contact to go over membership dues and benefits. If you have immediate questions please send them to info@paymentsfirst.org.
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