USER LOG FOR REMOTE DEPOSIT CAPTURE

Submit Your First Merchants Remote Deposit Capture (RDC) User's Information

We're looking forward to bringing you an enhanced experience with our system upgrade this year! Please complete the web form below, including all of the RDC Users in your organization. Extra spaces are provided for your convenience. If you need additional space, please submit a second form.

**Be sure to double-check for spelling errors so we can keep your records accurate**

User 1

Business Name:

User First and Last Name

Email Address

User 2

Business Name (if different from above):

User First and Last Name

Email Address

User 3

Business Name (if different from above):

User First and Last Name

Email Address

User 4

Business Name (if different from above):

User First and Last Name

Email Address

User 5

Business Name (if different from above):

User First and Last Name

Email Address

User 6

Business Name (if different from above):

User First and Last Name

Email Address

User 7

Business Name (if different from above):

User First and Last Name

Email Address

User 8

Business Name (if different from above):

User First and Last Name

Email Address

Comments - Please provide any details that would be helpful as we update your records:

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