VBCE: Currency Exchange in Vancouver

First Name

Last Name

Email

Phone Number

Date of Birth

Address

City

Postal/Zip Code

Country

Province

Please explain reason for buying/selling foreign currency

Volume per transaction (Estimated)

Annual Frequency

Have you ever held any position in a foreign or domestic government or been the head of an international organization, or been associated with an individual who has ever held one of the above positions?

YesNo

Best time to be reached

Occupation

Employer

Referral

Do you certify that you have given only your information above and that you are at least 18 years old

I authorize VBCE to access my credit to authenticate my identity and credit rating if necessary to facilitate processing of this account only

I have read and agree to the Terms and Conditions and confirm that I am not transacting on behalf of a third party

Signature

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