Vendor Profile Form
Please complete and return form as an attachment via E-mail to
[email protected].
Contact Information
Company Name ________________________________________________________________
Contact Name*, Title ____________________________________________________________
Contact Type:
 Marketing
 Sales
 Development
 Implementation
 Operations
Address _______________________________________________________________________
City ____________________________
State _____________
Telephone Number __________________________
ZIP Code ________________
E-mail Address _____________________
Company Information
Type of Products:
(Check all that apply)
 Software
 Hardware
Market Focus
(Check all that apply)
 Commercial Banks
 Credit Unions
 Services
 Community Banks
 Other _____________________
Application Offerings  Check Processing
 Account Management (DDA)
(Check all that apply)  Statements
 Image Systems
 Home Banking
 Treasury Management / CDA
 Image Exchange
 IRD Creation
 Other ___________________
Federal Reserve Products Supported
(Check all that apply)
 ECP  FedImageSM Delivery (image file)
 FedImage Archive
 FedACHSM
 Other ____________________
Check 21 Readiness Do your products support image cash letters in DSTU X9.37-2003 format?
 Yes ( Deposit  Receipt)
 No ( Deposit  Receipt)
 NA
Comments:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
The Financial Services logo, “FedImage” and “FedACH” are either registered or unregistered trademarks or service marks
of the Federal Reserve Banks. A complete list of marks owned by the Federal Reserve Banks is available at
www.frbservices.org
0804CRSO