Exclusive Digital Asset Wire Request (Off-Ramp)

1

Please note, same-day transfers are not available. Domestic transfers typically take 1 business day, while international transfers require 2 business days.* This field is required.

I understand

2

Full Name* This field is required.

First Name

Last Name

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Email* This field is required.

example@example.com

5

Which sales representative is assisting you with this request?

6

Which digital asset would you like to buy?* This field is required.

USDC

USDT

Ethereum

Bitcoin

7

How much USDC would you like to buy?* This field is required.

8

How much USDT would you like to buy?* This field is required.

9

How much Ethereum would you like to buy?* This field is required.

10

How much Bitcoin would you like to buy?* This field is required.

11

Do you want the the fees added on top of what you're requesting?* This field is required.

Yes

No

12

Please provide the account name that will be used to send the funds:* This field is required.

13

Please provide the name of the bank that the funds will be sent from:* This field is required.