Monday, 06 Feb 2012
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Complete the form in Block letters

Please read declaration and sign the completed form

 

Fax to us at 09-6304878 or email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it along your valid Photo ID copy, address proof and Bank deposit confirmation.   Please mention your name under the reference column while doing internet transfer

All transfers will be effected on sighting credit into our bank account and after we confirm with you over phone that the particulars and personal details provided are correct.


Bank Account Details:

Name of Account: RELIANZ FOREX LIMITED

Bank Account No: 02-0176-0044701-00 (BNZ)

OR : 03-0296-0300001-00 (Westpac)

Email                   : This e-mail address is being protected from spambots. You need JavaScript enabled to view it or This e-mail address is being protected from spambots. You need JavaScript enabled to view it