Buy single e-Currency Order Application

Important Notice:
You MUST have registered & validated your new account on our Forum before sending us this application.
You MUST have read, understood & agree to our AML Policy, Privacy Policy, TOS & Order Info 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 Webhosting, VPN, Firewall, Sock or Proxy is NOT allowed. You must  use your local ISP's 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 Special Note
Normal Within 24 business hours    Except Buy Methods 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 (Whichever is greater) Except Buy Methods MoneyGram & Western Union (Within 1 business day funding): Cut-off time  7pm everyday including public holidays, GMT + 8 hours.

Note: For India Bank Deposit, only Express/Normal Priorities are available.
Business Hrs: 12pm to 12am (GMT + 8 hrs) Mondays to Fridays (exclude P.Hs)

Priority Funding Time is only available if e-Currency stocks are sufficient!

Urgent Within 6 business hours  1% fee or 10 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 - No initial or short forms allowed]                  

Last Name (Surname / Family Name): [Compulsory - No initial or short forms allowed]

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: [e.g  U8566123 (Ah Teck) or alvin@hotmail.com (Ah Teck Alvin Lee)])]
(Ensure the account number / ID + account name are correct!)

Phone Number: (Compulsory: select 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's BSB / Account Number: [Compulsory if the order requires Bank account - e.g POSB, MayBank, WestPac]
(Select Not Applicable if not required a bank as the medium)

Information related to Buy Methods MoneyGram, Western Union, Bank Wire or CitiBank Global Transfer only:

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

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 0.40 USD).

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

Are you a Warrant Officer or higher ranked forum member? [0.5% Off if >200 posts & active forum posting in last 2 to 7 days (48 to 168 hours)]
No  Yes

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