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TCTC Payment Request
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1
Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Select Your Store
*
This field is required.
Agoura Hills
Los Angeles, CA on W 3rd St.
Oxnard
Santa Barbara
Studio City
Westlake Village
Woodland Hills
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4
Balance Payout Acknowledgment
*
This field is required.
Please acknowledge the following before submitting your request:
I understand that if my available balance is $10 or less, I may only request payment by check or pick up my balance in cash in-store.
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5
Payment Method
*
This field is required.
ACH Payment
Mail me a check
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6
How much would you like to withdraw? (Please Note: A $4.95 transaction fee will apply to all direct deposit payments.)
*
This field is required.
Consignment Balance in Full
Other Amount (not to exceed consignor balance)
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7
If you selected "other" please specify the amount you wish to withdraw:
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Should be Empty:
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