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FUNDS WITHDRAWAL FORM

To withdraw funds or close an account, fill out the Withdrawal Form on-line, print it and sign. Please mail or fax the form to IFX Markets with the information listed on the right.

IFX Markets 
419 Boylston Street, Suite 700,  
Boston, MA 02116  USA 
Fax: 1-617-357-0055

For FUNDS WITHDRAWAL Restrictions Please Review "Fees" Page.

Client's Information

Customer Name

Customer User Name

    Customer A/C Number

Method of Withdrawal

Wire            Check 

Withdrawal Amount $


USD Amount

- Convert USD Amount to Foreign Currency - 
EUR, GBP, JPY, AUD, NZD, CHF, SGD, HKD, DKK, NOK, SEK, CAD, ZAR
    Type the Currency 

Beneficiary's Information 

Beneficiary's Name

Address, City, State, Zip

BANK NAME

If non US Bank include the name of the US intermediary bank

Bank Address

ABA or Swift #

Account Number #

Reference

IFX Markets trading account holder only.
IFX Markets may not make or receive payment via third party.

Are you closing your account? 

Yes No  

What is the reason for closing your account? _____________________________________________________________

Customer Signature

 ___________________________                  Date    

Customer Signature
(joint accounts only)

 ___________________________                  Date    

Thank you for using IFX Markets.  If you have any questions or concerns, please contact us at tel. 1-617-357-0682.

Disclaimer: The undersigned hereby authorizes IFX Markets to initiate payments to a checking account indicated above. The account holder certifies that the information provided is accurate and truthful.  Client authorizes, IFX Markets to verify any and all of the above information. Further, client authorizes IFX Markets to convert funds from one currency type to another currency type, as directed within this document, or specified by client over the phone or fax.

IFX Markets is a division of IFX Markets Inc.
NFA ID: 0327627 Regulated by the CFTC