BankInformationForm

Bank Transfer Information

* Indicates required field

Submitters Name *

First

Last

Email *

Organization *

Beneficiary's Bank Details

Name of Bank *

full adress of bank *

Country *

Preferred currency *

Swift / Bic code *

Beneficiary's Details

name of benficiary (as in bank account) *

Account number *

Beneficiary's address *

Upload relevant documents *

Max file size: 20MB

Comments / instructions (if any) *

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