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First Name:

Last Name:

Institution Name:

Title:

Email Address (company only please):

Country:

State:

If you are an FI, what is the main RT/ABA:

*Area of job function: Check all that apply.(Required.)

Accounting & Finance

Administration

Audit & Compliance

Education

Executive

Human Resources

Information Security

Information Technology

Legal, Rules & Regulation

Marketing & Communication

Operations

Product Development

Product Management

Risk

Sales, Business Development, Customer Relationship Management

*Type of Institution: Choose one:(Required.)

Financial Institution: Bank

Financial Institution: Credit Union

Financial Institution: Bankers Bank or Corporate Credit Union

Technology Provider

Payments Association

Association

Corporate

College & Universities

Network/Financial Infrastructure

Other (please specify)

What is your level of involvement with RTP?

We are a participating financial institution or support a participating financial institution.

We are in process of becoming a participating financial institution or support to a participating financial institution.

We are learning about RTP.

Other (please specify)

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