EmailMe Form - Cash-Out Form For Pakistan Typers

EmailMeForm

Attention! Be careful choosing your Route of Payment option. Wrong (incorrect) choice may lead to the payment hold and you won't get your payment. We assume that all information you have provided in Application Form for Fasttypers or Captchatypers are all correct. We have no responsibilty in your data correctness: if you have provided your Perfect Money (USD) Account # and WebMoney Z Purse ID incorrectly, you cannot claim funds charge-back. Type your data carefully.
Complete Name *
First Last
Country *
Email *
Dear Typers,

For some reasons, our PayPal account has been limited. We can not send PayPal payments for now. Please choose another payment method available to you. It can be Perfect Money (USD) or WebMoney Z Purse. Sorry for the inconvenience.
Route of Payment *
Payment Processor Account Details *
Example for PM USD:
U1234567

Example for Z Purse:
Z123456789012

Re-enter Payment Processor Account Details
Accounts in what server? *
Captchatypers
Fasttypers
How many accounts you want to cash-out? *
Balance per Account *
Include your balance next to your Fasttypers and/or Captchatypers usernames separated by a column. Also include the date range in this format yyyy/mm/dd to yyyy/mm/dd. Please refer to our Fasttypers Payment Availability page and to your CT Personal Pay-sheet.

http://tidyurl.com/ftpaymentstatus

Example Format:

(your FT username1): $7.2501 (2014/04/02 to 2014/02/08)
(your FT username2): $4.0145 (2014/04/02 to 2014/02/08)
(your CT username1): 4579 pics (2014/03/28 to 2014/04/01)
(your CT username2): 8742 pics (2014/03/28 to 2014/04/01)
Image Verification

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