Xtend Shared Branching Information Update Form Please fill out the form to place your order. Update type*What kind of update is this? Add a branch Remove a branch Change a branch's info Verify that no changes are needed Address to be addedAddress* Address Line 2 City* State* ZIP Code* Change a branch's infoAddress* Address Line 2 City* State* ZIP Code* Branch phone number* Branch fax number* Address to be removedAddress* Address Line 2 City* State* ZIP Code* Branch phone number* Branch fax number* Credit Union name*The full name of your Credit Union. CEO*The name of your Credit Union's CEO. First Last Contact name* First Last Contact phone number*Contact email* Fax Number*What is your preferred contact method for Shared Branching inquiries?* Fax Email Update Branch Contact InformationBranch phone number* Branch fax number* OtherEnter any other contact info that should be updated, such as fax numbers. Please be sure to include labels. If there's nothing else to update, leave this section blank.Consent* 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.