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If you wish to receive funds or have funds deposited into your receiver's account please complete this form accordingly. Please contact a Customer Service Representative regarding the optional sections of the form. To acquire some of the necessary information, you may have to contact your bank.

  1. Open an account with Salamat Financial Services by completing a new customer or new company form and sending it back to Salamat Financial Services."
  2. Service fees are taken off the amount that is received in the account of Salamat Financial Services.
  3. Please note that our rates and service charges are completely variable, depending on the amount of the transaction.
  4. After wiring the funds, fax/e-mail the wire form you have received from the bank via fax/e-mail to Salamat Financial Services.
  5. It may take up to 72 business hours for the payment to go through; please be patient.
  6. To have a completed copy of this form sent to your e-mail account, enter your e-mail address in the appropriate field below.

Bank Information

* Asterisk indicates required field:

Current Customer Identifier or Customer's Full Name: *
Current Customer Phone Number: *
Email Address :
Bank Information
Account Holder's Full Name: *
Bank Name: *
Bank Address
Bank Street Address:
Bank City :
Bank Province/State :
Bank Postal Code/Zip Code:
Country: *
Swift Code:
ABA or Routing #:
Account Number: *
Account Type: * ex. CAD, USD, EUR, ...
Bank Phone Number :
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122 West 15th Street, North Vancouver, BC, V7M 1R5, Canada

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