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Wire Payments Form

You MUST include back/supporting documents, such as an invoice, before submitting this form.

Wire Payments

Your Name(Required)
Provide the account code the money will be taken from
Please indicate the currency. For example US Dollar. Canadian Dollar. Euros, etc.
You must include supporting documents (such as an invoice) before submitting your claim. If you have multiple files, please compress them before uploading.
Max. file size: 6 MB.

Bank Information

Enter the Bank/Branch OR the ABA OR the SWIFT information
Indicate the account the money will be deposited into
Bank Address(Required)