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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 and/or February Go Direct 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 one or both of the boxes below you are certifying that your financial institution is a Community Ambassador because it completed two of the required activities during:

October Crime Prevention Month
February Go Direct Month

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

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