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Place Exchange E-Currency Order     Buy    Sell


Your information in the application will be kept strictly confidential, it is collected for Internal use only.

All required details must be filled, any order with missing or incorrect information will be rejected.

NOTE --> Minimum Exchange Fee is USD 7.00 for any trade


 
Contact Information
 
  E-Mail Address: e.g. xyz@yahoo.com
  First Name:
  Last Name:
  Address/City/State :
  Country :
  Mobile or Home Phone Number: e.g. +91-9837100111
  Yahoo, Msn Messenger ID: e.g Msn xyz@gmail.com
     
  Exchange Details  
  Sell E-Currency :
  E-Currency Sell Amount (in USD) :
e.g. Enter 100 If you want to Exchange 100 USD
  Your Selling Currency account Number and Name: e.g. 312134 (Ramesh e-Gold acct)
D33052(G. Guruswamy)
     
  Your Receiving currency Information  
  Receiving Currency: Select E-currency you want to Receive
  Receiving E-Currency account Number and Name: e.g. U271053 (Julia )
     
  Other Information  
  Any Suggestions, Comments Etc. (Optional)
  .
  Verification Code:
   
     
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