PayPal Request

*For international customers only*

Use this form to request your referral fees be paid to your PayPal account.

*Full Name

*Phone Number

*PayPal Email Address

I understand by checking this box I am requesting that my referral fees be paid via PayPal to the email address above. I am responsible for any errors in this form. I also understand that I am responsible for any fees charged by PayPal.

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