|
|
|
| Bank Transfer
|
|
|
You may pay via Wire Transfer in US Dollars or Euros. Please transfer to the account specified below. After you completed the payment please send this form to our fax (1-202-318-4492).
|
|
|
PLEASE WRITE VERY CLEARLY USING ONLY CAPITAL (BIG) LETTERS
|
| First Name: |
Last Name: |
| Country: |
Phone(optional): |
| Email: |
| Confirm Email (Write email again): |
| Account Number(optional): |
|
Beneficiary Account:
| Name: T.C. Advertising Limited |
| Account no.: 047526-003 |
Beneficiary Bank:
| Federal Bank Of the Middle East Limited,Nicosia,Republic Of Cyprus |
| Swift Code: FBMECY2N |
Client Payment Information:
| Sender's First Name: |
| Sender's Last Name: |
| Country of payment: |
| Amount transferred: |
| Name of Sales person/Agent in USAGC (Optional): |
|
|
PLEASE WRITE VERY CLEARLY USING ONLY CAPITAL (BIG) LETTERS
|
Please note that all listed prices are including the extra €5 for process and handling.
|
By signing below you accept and agree to USAGC Organization's "Terms and Conditions" as published on www.usagc.org website.
I READ, ACCEPT AND AGREE:
| ________________ |
________________ |
| SIGNATURE |
DATE |
|
|
After completing all details fax this page to:
Fax: +1-202-318-4492
or
e-mail to: support@usagc.org
PLEASE NOTE:
- Please make sure you completed the payment before send this form.
- Please note that all listed prices are including the extra €5 for process and handling. You have to send the listed amount and not add any amount. USAGC will not return any change or refund any payment after they are received.
|