Enrollment Form

Incentive | Exclusive Campaigns

Just a few simple steps to enroll and launch your free Incentive | Exclusive campaign.

1. Campaigns

Select campaigns below

Click to select which campaigns you'd like to participate. And remember, you may select multiple campaigns. You must select at least one campaign. Each of these campaigns allow for the following Fiserv products: Bill Pay, AutoPay, eBill, TransferNow®, Mobile (MOASP only), CardHub and Zelle®.

Review our Campaign Overview for more details on each campaign below. Review our FAQ for more information about our Incentive | Exclusive campaigns.

All | Incentive | Awareness | Charity

Back-to-School
Awareness

Aug - Sep 2025

Enroll By: 7-31-25

Season of Giving & Receiving (Sweeps + Charity) Season of Giving (Charity)

Nov - Dec 2025

Enroll By: 10-17-25

New Year, New You
Awareness

Jan 2026

Enroll By: 12-31-25

2. Enrollment Form

Complete Form Below

Primary Contact

First Name *

Last Name *

Phone *

Email *

Job Title *

Secondary Contact

First Name *

Last Name *

Phone *

Email *

Job Title *

Financial Institution Information

Financial Institution Name *

Financial Institution Address *

Financial Institution City *

Financial Institution State *

Financial Institution Zip Code *

Financial Institution Website (ex. financialinstitution.com) *

3. Submit

Good news! If you have an agreement, just click Submit Enrollments and you'll be all set.

New to Incentive Programs? Click Submit Enrollments and we will send you our Marketing Services Program Agreement. Your enrollment will not be complete until we receive the signed marketing agreement.

You will receive a welcome email confirming your enrollment. Two to three months prior to the campaign launch, we will update you and let you know when creative is available in Impact Marketing.