Financial Registration - US

Contact Details

Customer Support Contact Name*

Name of primary contact for all Customer Support enquiries. Please provide a direct contact.

Customer Support Email Address*

Email of primary contact for all Customer Support enquiries. Please provide a direct email address of the Customer Support contact (not the generic email address).

Billing Contact Name*

Name of primary contact for all billing enquiries. Please provide a direct contact of the billing contact.

Billing Contact Email*

Email of primary contact for all billing enquiries. Please provide a direct email address of the billing contact (not the generic email address).

Billing Address

If different from the Company registration address. Please enter the following items: House/unit, Street, City, Postal code & Country.

Bank Information

Bank Name*

Name of the bank where the company has an account

Account Holder*

Name of the holder of the account (expected to be the company)

Account Number*

Bank account number of the company

Currency*

Currency of the bank account

SWIFT / BIC Code*

SWIFT / BIC code for the company’s bank account

ABA Routing Code*

ABA routing code for the account

Bank Address*

Address of the bank where the company has an account

Proof of Bank Details (bank letter or statement)*

Accepted file types: png, jpg, pdf, Max. file size: 5 MB.

We require proof of your bank details as per the US regulations and KYC requirements. Please attach a PDF, PNG or JPG file of a letter or statement from your bank which must be within the past 3 months and include your legally registered company name, account number and sort code. Your PDF file must be less than 2MB.

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US Financial Registration

We require the details in this form as part of US regulations and KYC requirements.

Company Information

Contact Details

Bank Information

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