Fund Withdrawal Form

Fri, 12/03/2010 - 09:34 — root

Client Number *

First Name *

Family Name *

Email Address (confirm only) *

This is to send confirmation of the receipt of the application. For security, no account details will be included in the email.

Date of Birth *

What is your Security Question? *

Answer to your Security Question *

Withdrawal Amount *

Use existing bank details

yes

By default we will use your nominated bank account. If want to send the money elsewhere or have not registered your bank details with us yet, complete the details below. Note that the account must be in your name and charge will be made for all international payments.

Bank account number

SWIFT code

Bank Name

Bank Address

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Velocity Trade, New Zealand 2002-2011 All Rights Reserved. | Privacy Policy | Website Disclosure | Complaints & Comments
Margin FX and CFDs are leveraged products and can result in losses that exceed your initial deposit. Please consider our Product Disclosure Statement (Margin) for FX and CFDs and our Product Disclosure Statement (Physical) before transferring your money on LatitudeGT. Velocity Trade Limited is a New Zealand registered company (number 1943456) and is an authorised Futures Dealer in New Zealand and holds an Australian Financial Services Licence (AFSL) No.329813. Velocity Trade Limited is part of the Velocity Trade Group that has offices in Toronto, New York, London, Auckland, Sydney and Cape Town.

Fund Withdrawal Form

Velocity Trade

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