WealthTrade FX

Trading Account

Withdrawal of Funds Form

To get started, please fill in your details in the below application form.

If you have any trouble completing this form or require any assistance, please email us at Support@WealthTradeFX.com.

*Mandatory fields

Personal Details

WealthTrade FX Account No.: *

First Name: *

Last Name: *

Email: *

Company

Address 1: *

Address 2:

City: *

State/Providence: *

Zip/Postal code: *

Country: *

CountryAreaNumber

Phone 1*+

Phone 1 Country: *

Phone 1 Area: *

Phone 1 Number: *

Help- Country (1-3 digits)
- Area (1-4 digits)
- Number (5 – 12 digits, can contain # for extension)

Withdrawal Information

Base Currency Type: *

Amount in Numbers: *

Amount in Words: *

Bank Information

Bank Name: *

Bank Account No.: *

Name on Bank Account: *

IBAN (Europe Only)

SWIFT/ABA/Routing No.: *

Bank Address: *

Bank City: *

Bank State: *

Bank Country: *

Intermediary Bank (If Applicable)

Bank Name:

SWIFT: Intl SWIFT Code Only, Not ABA!

Bank Address:

Bank City:

Bank State:

Bank Country:

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Master the Art of 24 Hour Forex Trading

Trading Account

Withdrawal of Funds Form

To get started, please fill in your details in the below application form.