WaFd Bank & Heartland Success and Feedback Form *Warning - It is important that a conversation with the potential partner has occurred before submitting a lead through this form. You will need your Partner's correct business information and their consent as they will receive a legal binding contract from Heartland Payments - via DocuSign. Once complete and submitted, this information will be added to SalesForce and reviewed by your Senior Director of Business Development for next steps to contract. For questions, please e-mail [email protected]User SubmissionWhich organization do you represent?*Please Choose OneHeartland Payment SystemsWashington Federal BankYour e-Mail* Region*Please Choose OneEvergreenMidwestSouth PacificNorth CentralSouth CentralDivision*WaFd Bank Branch Number*Please enter a number from 0 to 1430.Submission Type*Please Choose OneFeedbackSuccess StoryShout OutPlease provide feedback.*What suggestions do you have to make our partnership better?*We love success stories!!! Please detail your experience and let us broadcast it throughout the regions.*Who would you like to recognize and why?*Would you like to be contacted about your submission? Yes, please have someone contact me. Please e-mail [email protected] if you have any issues with your form submission.