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This will
Cancel
, and
Replace
your Original Order with the New information below
(All fields are required)
Your Existing Order Number:
*
(Paste Original Order # here)
New / Modified Order Details:
Exchange
From / To
:
C-gold to Pecunix
C-gold to Liberty Reserve
C-gold to Global Digital Pay
C-gold to Procurrex
Liberty Reserve to C-gold
Liberty Reserve to Pecunix
Liberty Reserve to Global Digital Pay
Liberty Reserve to Perfect Money
Liberty Reserve to Procurrex
Global Digital Pay to C-gold
Global Digital Pay to Pecunix
Global Digital Pay to Liberty Reserve
Global Digital Pay to Perfect Money
Global Digital Pay to Procurrex
Procurrex to c-gold
Procurrex to Liberty Reserve
Procurrex to Global Digital Pay
Procurrex to Perfect Money
Make sure yu select the correct From / To option above!!
FROM
account Number:
Batch Number of your spend:
(or transaction ID)
(If you forgot to copy your Batch/Trasaction Number, look for it in your account History)
TO
account
NUMBER
:
TO
account
NAME
:
Amount Transferred (US$):
(99999.99 format)
Example:
1500.25
: Do
NOT
use «
,
» (commas) in the Amount sent
You will receive:
(Net)
Your First Name:
Your Last Name:
e-mail address:
Phone Number:
Modifications Made:
*
Please VERIFY that
ALL
Options, Amount, and ALL other information
above are Correct
BEFORE
submitting the form!
Incorrect Data would result in delays,
AND
additional charges.
By Submitting this form, you agree to abide by our
Terms and Conditions as described in our
Disclaimer
(SSL Secure Form)
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.