Affiliate Services Application Form | Community Bankers of Iowa (CBI) | Des Moines, IA - Community Bankers of Iowa

Physical Address (if different from above) *

Line 1

Line 2

City

State

Zip Code

Country

Principal Company Contact(s):

Can this business provide other education programs or services for Bankers? *

Yes No

If "Other", please explain. *

Please provide the names of three community bank references.

Reference 1 - Name *

First

Last

Title *

Email *

Bank Name *

Bank Location City & State *

Phone Number *

Reference 2 - Name *

First

Last

Title *

Email *

Bank Name *

Bank Location City & State *

Phone Number *

Reference 3 - Name *

First

Last

Title *

Email *

Bank Name *

Bank Location City & State *

Phone Number *

You may also use the Upload File option to submit additional files or information that you wish to include with your application. Files are accepted in the following formats: PDF, Word Doc (.doc or .docx), Excel (.csv, .xls or .xlsx), TXT, RTF, or Powerpoint. To send two or more items at once, please send a compressed file. Compressed files containing multiple documents can be accepted in ZIP format.

Corporate Logo – To help us effectively promote your company we will need your logo
(color and B & W) in one of the following formats: Hi Res JPEG, Hi Res PSD (Photoshop), Hi Res PDF, or vector Illustrator EPS (preferred). ("Hi Res" indicates 250 dpi or better.) To send two or more items at once, please send a compressed file. Compressed files containing multiple documents can be accepted in ZIP format. Upload using the submission button below:

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