Corporator Profile

Please complete the Corporator Profile below to ensure we have the most accurate information on file. If you have any questions, please contact Heather Belair at (508) 890-9085 or hbelair@baystatesavings.com.

Name(Required)

First Last

Home Address(Required)

Home Address Line 2

City, State, Zip Code(Required)

Date of Birth(Required)

Cell Phone Number(Required)

Business Name(Required)

Job Title(Required)

Business Address(Required)

Business Address Line 2

City, State, Zip Code(Required)

Business Phone

Preferred Email Address for Communications(Required)

Enter Email Confirm Email

Which address would you like mailings sent to?(Required)

Home Address

Business Address

Notes/Comments to Heather

Please type your name in the box to serve as your electronic signature(Required)