Buy Single e-Currency Order Form

Buy single e-Currency Order Application

Important Notice:
You MUST have registered & validated your new account on our forum and have read and understood our Order Information page before sending us this application.

All required particulars must be filled, any order with missing or incorrect information will not be accepted.
For 1st time order, we will make a ONE-time phone verification to ensure your contact number is correct.
Strictly NO 3rd party order allowed.

Hiding of IP address behind foreign firewall, sock or proxy is NOT allowed. You must use your local IP address to make the order.

Your information in the application will be kept strictly confidential. You do not have to worry about it.

Buy single e-Currency Order Form

Preferred Speed of Funding: [Compulsory]

Priority	Time Taken	Fee	Note
Normal	Within 24 business hours		Except MoneyGram & Western Union (Within 2 business days funding): Cut-off time 7pm everyday including public holidays, GMT + 8 hours.
Express	Within 12 business hours	0.5% fee or 5 USD except e-Gold 13 USD (Whichever is greater)	Except MoneyGram & Western Union (Within 1 business day funding): Cut-off time 7pm everyday including public holidays, GMT + 8 hours. Note: Urgent Priority NOT available for India Buy Orders, only Express/Normal. Also, Priority Funding Time is only available if e-Currency stocks are sufficient!
Urgent	Within 6 business hours	1% fee or 10 USD except e-Gold 25 USD (Whichever is greater)

Registered Forum Username: [Compulsory, NOT Forum ID Number]
Click HERE to register if no account yet!

First Name (Given Name): [Compulsory]

Last Name (Surname / Family Name): [Compulsory]

City, Province, State (Where you staying at now): [Compulsory]

Country (Where you staying at now, NOT where you originated from): [Compulsory]

Which e-Currency required: [Compulsory]

Amount Required and currency: [Compulsory]

e-Currency account number / ID + account name: [Compulsory: e.g U8566123 (Ah Teck) or Z385039007046 (WM ID 274272171467)]
(Ensure the account number / ID + account name are correct!)

Phone Number: (Compulsory: MUST include country code, e.g Mobile +65-96372653)

Email Address: (Compulsory)

Yahoo, Msn, Skype, ICQ or GoogleTalk Messenger ID: [Compulsory if you use - e.g Msn alvin@gmail.com]

Payment Method: (Compulsory)

Bank Name & Bank Account Number: [Compulsory if the order requires Bank account - e.g POSB, MayBank, ICICI Bank, BPI Bank]
(Select Not Applicable if not required a bank as the medium)

Information related to MoneyGram, Western Union, Bank Wire or CitiBank Global Transfer only:
Sender's Name: Sending Currency: SGD / USD Sender's Bank City/State/Country:

Special Instructions, Information, Questions, Suggestions or Comments (including 3rd party details):

Are you a Warrant Officer or higher ranked forum member? [0.75% Off if have >200 posts & active forum posting in last 2 to 7 days (48 to 168 hours)]
No Yes

If you've signed up for our forum under a referrer, please enter his/her registered forum nick: (Optional)

Do you require SMS notification as well once your e-Currency account is credited? (Optional, we do NOT guarantee delivery)
No Yes, my Mobile Provider's Name is (Cost 0.20 USD)

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