Regulatory Filing Group - A Jack Henry & Associates Company

home

visit jackhenry.com

	Begin Register now or log in.
	Enter your Billing Information Fill out the required forms.
	Generate your Report Compile ADS data.
	Success! Thank you for your submission.
	Download Download your ADS report.

Prices
Jack Henry customers
$150

All other customers
$250

Please enter the required information below. Your product invoice will be sent to the Billing Contact. Notice of ADS report availability and the website link to the report itself will be sent to the Recipient Contact.

* Required Fields

First Name*

Last Name*

Title

Company*

Telephone*

FAX

Address*

City*

State*

Zip Code*

Same as Billing Contact Information

First Name*

Last Name*

Title

Company*

Telephone*

FAX

Address*

City*

State*

Zip Code*

Please enter your certificate # and e-mail address. Your certificate # will be used to log into our ADS website. Please verify your that your e-mail address is valid; it will be used to receive your account password.

Need ADS reports for more than one bank? Contact Technical Support at 1-800-688-9191 or to add more reports to your account.

Certificate # *

Type your Certificate # used for identification.

E-mail*

Type your e-mail address for registration.

E-mail (verify)*

Type your e-mail address again for verification.

I agree to being billed for the Annual Disclosure Statement, and am aware that an invoice will be sent to the address listed in the Billing Contact area of this page.