Transhorn Money Transfer Services
Bank Statement Request  Form

Please, fill out this form and send it to the following address or fax number:
TMT, P.o.Box 3155, Renton WA98056 or  FAX:1-425-255 0345
 


Account Holder Information:


Full Name:__________________________________________

Full Name:__________________________________________

 

Full Name:__________________________________________

 

Address: ___________________________________________

             

              ___________________________________________

 

Tel 1:_____________________Tel 2:_____________________

 

Request date :_______________________

 

Eritrean ID No:_____________________________________

 

 

Bank Account information:

Bank Name: _____________________________________


Bank Account: ____________________________________

 

 

The above account holders request a bank statement to be mailed to the following address/e-mail address:

 

E-mail/Address: __________________________________________

             

                       ___________________________________________

 

 

Account Holder(S) Signature(S):

    ________________________    ______________________

 

 

      __________________________________        _______________________________