Form Page- Xtend Shared Branching Info Update

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 Considerations

Are there any special considerations we should know for this branch? i.e. no drive thru, special hours, etc.

Add a branch

Branch Name(Required)

Address 1(Required)

Address Line 2

City(Required)

State(Required)

ZIP Code(Required)

Branch phone number

Branch fax number

Remove a branch

Branch/Address to be removed

Branch Name(Required)

Address 1(Required)

Address Line 2

City(Required)

State(Required)

ZIP Code(Required)

Branch phone number

Branch fax number

Change a branch's info

Branch Name/Address needing updates(Required)

Change needed(Required)

Update contact information

Please 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 Number

BSA Officer Contact Name(Required)

First Last

BSA Officer Email(Required)

BSA Officer Phone Number(Required)

BSA Officer Fax Number

What is your preferred contact method for Xtend Shared Branching inquiries?(Required)

Phone

Fax

Additional Notes

Please enter any additional notes or details you’d like Xtend to know. If there’s nothing else, leave this section blank

Verify that no changes are needed

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 Notes

Please enter any additional notes or details you’d like Xtend to know. If there’s nothing else, leave this section blank.

Xtend Shared Branching Information Update Form

Add a branch

Remove a branch

Change a branch's info

Update contact information

Verify that no changes are needed