Positive Pay Form

Enroll in Positive Pay
To start your company’s enrollment in Positive Pay, please provide the following information:
Your Name*

First NameLast Name
Company Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
City of Residence*
Once submitted, we will contact you by email to complete the enrollment process.
Should be Empty:

Enroll in Positive Pay