Aura FX | Withdrawal

To withdraw funds fully, please complete and sign this Withdrawal Request Form. Withdrawal requests are processed typically within two (2) business days of receipt of this form via scan and email to info@aura-fx.com or via post to the address listed below.

This form must be fully completed to include a full address - P.O. Boxes are not accepted. All information requested below must be provided to avoid errors or delays in processing. AURA FX (NZ) Ltd. will not be held responsible for delays caused by incorrect information provided by the customer.

All fields are mandatory

Withdrawal Method Wire Transfer Neteller

Withdrawal Amount

AURAFX ACCOUNT INFORMATION

Date (DD/MM/YYYY)

Customer Name *

Account #

Mailing Address *

City

State

Country

Telephone Number

RECEIVING SOURCE INFORMATION

Bank Name *

ABA # or Swift Code

Bank Account # *

Bank Account Title

Bank Address

City

State

Country

ADDITIONAL INFORMATION REQUIRED FOR INTERNATIONAL TRANSFERS

IBAN Number

Intermediary Bank:

*Customer and bank account information MUST match the information provided on your original account application. We will only wire funds to the bank account of record and/or to the original funding source. Under no circumstances will AURA FX (NZ) Ltd. make or receive payment(s) via a third party.

Reason for withdrawal: