Enroll

New Customer Information

At EFF, we value every customer like friends and family. This information will allow us to create your customized user profile.

How did you hear about us? ^*

Please let us know how you heard about EFF

Funeral Home/Cemetery ^*

FH Name or Cemetery Name

Location Owner or Authorized Individual ^*

First Name ^*

Last Name ^*

Title ^*

What is your job role?

Authorized Funeral Director License ^*

Address ^*

Street Address ^*

City ^*

State/Region/Province ^*

Postal / Zip Code ^*

Country ^*

Email ^*

Office Phone Number ^*

- -

Fax Number ^*

- -

Funeral Software/CRM Provider for Express Hub Integrations

Additional Comments/Message

Banking Information

To get your funding immediately, we need your banking information to initiate all transfers.

Preferred Method of Payment ^*

ACH

Check

(ACH or Check)

Direct Deposit Authorization

Depository Name ^*

Branch

City ^*

State/Region/Province ^*

Postal / Zip Code ^*

Routing Number ^*

Your bank routing number is a nine-digit code that's based on the U.S. Bank location where your account was opened. It's the first set of numbers printed on the bottom of your checks, on the left side

Account Number ^*

This authorization is to remain in effect until Express Funeral Funding, LLC has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Express Funeral Funding, LLC and Depository a reasonable opportunity to act on it.

Funeral Home/Cemetery ^*

Tax ID ^*

Owner 1 ^*

Full Printed Owner's Name

Owner 1 Signature ^*

Draw your owner's signature inside the box.

Date ^*

MM/dd/yyyy

Owner 2

Full Printed Owner's Name

Owner 2 Signature

Draw your owner's signature inside the box.

Date

MM/dd/yyyy

Proof of routing and account number picture ^*

To ensure account security, please provide one of the following items: VOID Check, Bank Statement, or Electronic picture of Routing and Account number from a banking app.

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Enroll today and join the Express Funeral Funding family!

New Customer Information

At EFF, we value every customer like friends and family. This information will allow us to create your customized user profile.

Express Hub Sign-Up, Reporting & Communications

We can provide you funding updates, general communications, and EFF updates. To select your communication preferences, please select your desired preferences.

Banking Information

To get your funding immediately, we need your banking information to initiate all transfers.

Direct Deposit Authorization