2023 NEW Affiliate Member Application

Company Information:

City State Zip
Affiliate Type

Key Contact Information:

First Name Last Name
Your Email
Your Phone
The institution named above makes this application for membership to PaymentsFirst, and herin 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. Membership dues will be due each year on January 1.
3. Unless otherwise terminated by PaymentsFirst, this membership is to remain in full force and effect until the Organization has given PaymentsFirst 90-days written notice of its membership termination.
4. Dues are non-refundable once the current billing year is in force.
I (we) hereby agree to the terms above.
Accept by inserting initials
   - denotes required fields