Payment Method Authorization Form
Name & Personal Information
3-5 letter code
(Optional)
I am
*
Please Select
Translator
Interpreter
Desktop Publisher
Translation Company
Interpreting Company
Consultant
Other
Full Name
*
First Name
Last Names
Company Name Legal Name
(Optional)
your e-mail
*
Payment Options
Payment Method
*
Paypal
Direct Deposit
International Wire Transfer
Western Union
Payoneer
.
Bank Name
Routing Number
9 digits
Account Number
Account type
Please Select
Checking
Savings
Other
International Bank Name
SWIFT/BIC code
Account Number or IBAN
IBAN is mandatory for European countries.
Account ID
Payment to other beneficiaries must be authorized by signed letter. Contact vendor_manager@trustedtranslations.com for information
Name of the Account Holder
Payment to other beneficiaries must be authorized by signed letter. Contact vendor_manager@trustedtranslations.com for information.
Other comments
Empty
Authorized Signature
*
I declare that I have completed this form myself. I authorize you and the financial institution listed above to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error.
Submit
Should be Empty: