-Secure Registration Form-

* Required Fields

Hidden Fields - HIDDEN

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Submissions start here

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Data Security

We take the security of your information very seriously.

All the data and documents are encrypted before being sent over a secure (SSL) connection to a unique URL on our secure and encrypted servers. Venstar Exchange adheres to strict data protection protocols that keep more sensitive information, including all of the files you provide, in secure and encrypted ‘lock boxes’. Only authorized personnel with authenticated decryption keys can access these documents.

Minimum Amounts

If you expect to transact less than 5,000 USD equivalent per transaction then we suggest you first contact us so that we may determine if we are the best fit for your exchange requirements.

Your Details

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Phone

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Services You Require

Services You Require

I wish to register as a(n): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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My Source Funds (the money I wish to exchange) will come from a Bank Account in my name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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The funds to be exchanged will come from a bank account bearing the same name as the organization I am registering {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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(Format: M / D / YYYY)

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Estimates are fine

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e.g. 15,000 per transaction (estimates are fine)

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Reason for Exchange examples. Some detail is required.

  • Paying tuition fees in Scotland
  • Payments for machine parts in CAD
  • Real estate mortgage payments
  • Living expenses while located abroad
  • Transfer of savings to bank account in my name
  • Personal loan to family member to purchase car

Reason for Exchange examples. Some detail is required.

  • Paying consulting fees in Scotland
  • Payments for machine parts in CAD
  • Paying wages in Germany
  • Purchasing stock (wine) from suppliers in Italy
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I have read and understood Venstar's Privacy Policy and agree to my data being collected by Venstar.
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Click Next Page to continue

Save incomplete forms for up to 14 days.

After clicking SAVE you can either bookmark the updated URL or have it emailed to you.

-Secure Registration Form-

The email has been sent.

Your progress has been saved.

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-Secure Registration Form-

* Required Fields

Hidden Fields - HIDDEN

Initial Contact Method {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Form ID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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DateTime Submitted {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Visitor ID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Visitor ID reg {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
OtherParameters {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Ad URL Query {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
User Agent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
IP Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mobile Device? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

 

Submissions start here

{ binding firstError.message }

Data Security

We take the security of your information very seriously.

All the data and documents are encrypted before being sent over a secure (SSL) connection to a unique URL on our secure and encrypted servers. Venstar Exchange adheres to strict data protection protocols that keep more sensitive information, including all of the files you provide, in secure and encrypted ‘lock boxes’. Only authorized personnel with authenticated decryption keys can access these documents.

Minimum Amounts

If you expect to transact less than 5,000 USD equivalent per transaction then we suggest you first contact us so that we may determine if we are the best fit for your exchange requirements.

Your Details

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Name Combined - HIDDEN {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Middle Names {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Last Name (Family Name) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Phone

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Country Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Area Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Services You Require

Services You Require

I wish to register as a(n): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Redirect - HIDDEN {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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My Source Funds (the money I wish to exchange) will come from a Bank Account in my name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
The funds to be exchanged will come from a bank account bearing the same name as the organization I am registering {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Expected Date of Next Transaction {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I usually Sell {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I usually Buy {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Transaction Frequency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Avg. Value per Trans. (not total) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
In Currency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Reason(s) for Exchange (see following examples) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Reason for Exchange examples. Some detail is required.

  • Paying tuition fees in Scotland
  • Payments for machine parts in CAD
  • Real estate mortgage payments
  • Living expenses while located abroad
  • Transfer of savings to bank account in my name
  • Personal loan to family member to purchase car

Reason for Exchange examples. Some detail is required.

  • Paying consulting fees in Scotland
  • Payments for machine parts in CAD
  • Paying wages in Germany
  • Purchasing stock (wine) from suppliers in Italy
{ binding firstError.message }
I have read and understood Venstar's Privacy Policy and agree to my data being collected by Venstar.
I agree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
 

Click Next Page to continue

Save incomplete forms for up to 14 days.

After clicking SAVE you can either bookmark the updated URL or have it emailed to you.