Xtend Shared Branching Information Update Form Please fill out the form to place your order. Update Type(Required)What kind of update is this? Add a branch Remove a branch Change a branch's info Update contact information Verify that no changes are needed Special ConsiderationsAre there any special considerations we should know for this branch? i.e. no drive thru, special hours, etc.Add a branchBranch Name(Required)Address 1(Required)Address Line 2City(Required)State(Required)ZIP Code(Required)Branch phone numberBranch fax numberRemove a branchBranch/Address to be removedBranch Name(Required)Address 1(Required)Address Line 2City(Required)State(Required)ZIP Code(Required)Branch phone numberBranch fax numberChange a branch's infoBranch Name/Address needing updates(Required)Change needed(Required)Update contact informationPlease provide the settlement contact information you’d like displayed for Xtend Shared Branching Credit Unions Settlement/Accounting Contact Name(Required) First Last Settlement/Accounting Email(Required) Settlement/Accounting Phone Number(Required)Settlement/Accounting Fax NumberBSA Officer Contact Name(Required) First Last BSA Officer Email(Required) BSA Officer Phone Number(Required)BSA Officer Fax NumberWhat is your preferred contact method for Xtend Shared Branching inquiries?(Required) Phone Fax Email Additional NotesPlease enter any additional notes or details you’d like Xtend to know. If there’s nothing else, leave this section blankVerify that no changes are neededConsent(Required) I have reviewed all current branch information and contact details listed and verify on behalf of my credit union that all information is correct and no further updates are needed at this time. Credit Union name(Required)The full name of your Credit Union.CEO(Required)The name of your Credit Union's CEO. First Last Submitter Name(Required) First Last Submitter Email(Required) Submitter Phone Number(Required)Submitter Fax Number(Required)Additional NotesPlease enter any additional notes or details you’d like Xtend to know. If there’s nothing else, leave this section blank.Consent(Required) I have reviewed this form and my answers, and give approval on behalf of my credit union for Xtend to update any and all Shared Branching materials with the provided information.
