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Getting Started

ETA Program Information Update Form

The information provided on this form is collected by FRB Dallas. The primary financial institution Contact information will be used for Government purposes only. All other information you provide will be made available on the Internet at http://www.eta-find.gov to publicize the ETA service your financial institution provides.

Financial Institution Headquarters Information


Institution Name:


Address:

Customer Service Telephone Number (Optional):
This number will be published on the Internet at http://www.eta-find.gov (ETA Provider locator Web site) as the central telephone number for public inquiries concerning your financial institution's ETA offering.

URL Address (Optional):
We will provide a link from http://www.eta-find.gov to your institution's Web site if it includes information about your ETA.

Primary Financial Institution Contact:

Contact Name:
This will be the person to whom the Government will direct Program materials and any questions regarding your ETA.

Title:

Address:

Telephone Number:

Email Address:
 (Optional)

ETA Features:

Please provide the following information about your financial institution's ETA:

Monthly Fee ($):
If there is no monthly fee for your ETA, please enter "0".

Number of Withdrawals/Inquiries Allowed per Month:
Withdrawals: Inquiries:

Access Methods:
(check those that apply)		 Over the Counter
ATM
Online POS
Interest Paid on Account?
Fee for Foreign/Non-proprietary ATM use ($):
If there is no fee, please enter "0".
Additional Deposits Permitted?
Additional Deposit Types:
 (check those that apply)		 Cash
Check
Other Electronic
N/A
Name of Individual Submitting Form:
  

FOR MORE INFORMATION

For questions concerning this form, please contact:

Shirley Hopkins
Phone: (202) 874-6926
Fax: (202) 874-6965
E-mail: shirley.hopkins@fms.treas.gov

Financial institutions may call 1 (888) ETA-FRBK (382-3725) for information about enrolling in the ETA program.


   Last Updated:  Wednesday October 01, 2008
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