Guest Information Request Form

Thank you for your interest in NACHA Council(s).

Please provide all of the information requested below ("**" = Required Field). Once the form is submitted please allow up to 7 business days for processing and for NACHA to contact you.
Current NACHA Council(s) Membership Status** I am currently a member of a NACHA Council(s). Please indicate which Council(s) here: I am not currently a member of a NACHA Council(s)
Please mark ALL Council(s) you wish to receive information about: Affiliate Membership Program Council for Electronic Billing and Payment (CEBP) Electronic Benefits and Services Council (EBS) Electronic Check Council (ECC) Global Payments Forum (GPF) Internet Council

I am interested in attending a Meeting as a Guest. Please send me upcoming meeting information for the Meeting(s) selected below. (Interested parties must apply to take part in NACHA programs as guests, participants, or members. NACHA reserves the right to grant or refuse, at its sole discretion, program attendance or membership to any applicant.) EBS Electronic Benefits and Services Council General Meeting - TBA CEBP Council for Electronic Billing and Payment Meeting - February 5-6, 2008, Sheraton Delfina, Santa Monica, CA ECC Electronic Check Council Meeting - January 29-30, 2008, Hard Rock Hotel, Orlando, FL Global Global Payments Forum Meeting - January 22-24, 2008, Brussels Marriott Hotel, Brussels, Belgium Internet Internet Council Meeting - February 21-22, 2008, Loews New Orleans Hotel, New Orleans, LA

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Timeframe for intended submission of Application to join a Council(s): 1 - 3 Months 3 - 6 Months Within a year Not sure

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