Committee Nomination Form
Please complete and return no later than November 15.
Committees I am Interested in Participating in:
First Choice:
*
Please Select
Cash & Treasury Management Committee
Education Committee
Payments Compliance and Risk Committee
Payments Committee
Third-Party Sender/ODFI Roundtable
Second Choice:
Please Select
Cash & Treasury Management Committee
Education Committee
Payments Compliance and Risk Committee
Payments Committee
Third-Party Sender/ODFI Roundtable
Third Choice:
Please Select
Cash & Treasury Management Committee
Education Committee
Payments Compliance and Risk Committee
Payments Committee
Third-Party Sender/ODFI Roundtable
Name of Nominee:
*
First Name
Last Name
Title:
*
Certifications:
Organization:
*
Office Phone Number:
*
Format: (000) 000-0000.
Cell Number:
*
Format: (000) 000-0000.
Email:
*
example@example.com
Business Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of Qualifications:
*
Nominating Organization:
*
Your Name:
*
First Name
Last Name
Submit
Should be Empty: