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Margin-In Request Form
Date:
Client Name:
Account Number:
IB/ Group :
Kindly debit my account #:
Amount in US$:
(In words) U.S. Dollars:
Payment Details
By Check                         
In Cash                      
Ag. Commissions                  
By Wire                   
Customer Signature   ....................................................                           Date   ...............................
For office use only
*Please be advised that funds withdrawn will only be remitted to Rate Capital Investment's Own Bank Account with his name. WE DO NOT PROCESS "THIRD PARTY" TRANSFERS.
P.O.Box 1283 Dubai U.A.E. Tel: +971 4 338 48 08 Fax: +971 4 338 48 09
Email:info@rcifx.com, www.rcifx.com