提款单提交填写说明

Customer Information
Full Name:
Street Address:
City:
State/Province:
ZIP/Postal Code:
Country:
Telephone Number:
Withdrawal Information
Trading Account ID Number:
Withdrawal Amount:
Beneficiary Name:
Close Account?:是否消户 No, do not close my account(不消户) Yes, please close my account(消户)
NOTE: Beneficiary must be the trading account owner.
Capital Market Services, LLC trading account owner (or one of the joint account owners) only.
Capital Market Services, LLC may not make or receive payments via a third party.
Withdrawal Type:取款方式 Check 支票(美加地区) Wire Transfer 银行汇款
Your Bank Information
NOTE: Fill out this section only if you chose "Wire Transfer" above.
Account Number:
ABA Number or Swift Code:
Bank Name:
Bank Address:
If you do not know your bank information, please contact your bank to obtain it.
Intermediary Correspondent Bank Information
(If applicable. Contact your bank officer if unsure.)
Intermediary Account Number:
ABA Number or Swift Code:
Bank Name:
Bank Address:
Date: 07-24-08 04:20:11