Partner Contact Information
Please complete the following (where applicable) and submit. Thank you!
Financial Institution Name
*
Primary Program Contact
The person responsible for daily management of your merchant services program, who is most likely to make decisions about how the program functions, interacts with FiNet reps, organizes training sessions, and reviews reports.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Accounting/Residual Contact
The individual designated to receive monthly updates on residual payments or handle any other accounting-related issues. (If different from the primary contact)
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Marketing/Business Development Contact
The person responsible for making decisions about developing and implementing promotional activities for merchant services or overall in charge of branding and marketing related specifically to merchant services. (If different from the primary contact)
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Executive/Oversight Contact
The person in charge of making program-level decisions, such as overseeing the execution and implementation of the financial institution's partnership agreement with FiNet. (If different from the primary contact)
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Submit
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