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Go Direct® Community Ambassadors Certification Form

City, State, Zip of Headquarters:

Our financial institution would like to be listed as a Community Ambassador on GoDirect.org.

Program Requirements:

Please indicate that you participated in two of the following Go Direct campaign activities during October National Crime Prevention Month.

  • Posted a Web banner on your Web site
  • Included a statement message or stuffer in statements to customers or members
  • Distributed in-lobby materials
  • Communicated with tellers or distributed a Go Direct campaign communication kit to staff
  • Created and implemented a teller or branch incentive program or competition

By checking this box you are certifying that your financial institution is a Community Ambassador because it completed two of the required activities during October.

Please provide examples of your financial institution’s campaign activities throughout October and other suggestions for “best practices” for increasing direct deposit (optional):

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