Payment Information Form

intl acac logo

 

The following form is to collect payment information. Please submit it if you are expecting a payment, reimbursement, or refund from International ACAC.

Please note that International ACAC is not accountable for fees charged by the recipient bank.

 

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

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Recipient Information

Please indicate your preferred payment method.

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Payment by Check
Please complete this section if you are requesting to be paid by check.

Full name of payee to whom the check should be addressed (yourself or your institution/organization as appropriate).

Please enter the person to whom the check should be mailed. 

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Wire Transfer to a U.S. Bank
Please complete this section if your bank is located in the U.S.A.

Please enter the name exactly as it is on the bank account.

Please enter the address associated with the bank account. This is the account holder's address, not the bank address.

Format:

Street Address Line 1

Street Address Line 1

City, State, Postal/Zip Code

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Wire Transfer to Non-U.S. Bank
Please complete this section if your bank is located outside the U.S.A. Please provide as much information as you are able. Missing information can lead to delays in processing your payment.

Please enter the currency the account is in. Please note that International ACAC will only transfer funds in the local currency type.

Please enter the full name, exactly as it is on the bank account.

Please enter the account holder's address (not bank address)

Please enter the account holder's address (not bank address)

Please enter the account holder's address (not bank address)

Please enter the account holder's address (not bank address)

Please enter the account holder's address (not bank address)

While not always required, the bank address can sometimes be helpful. Please provide it below in the following format:

  • Street Address Line 1
  • Street Address Line 2
  • City
  • State/Province (if applicable)
  • Postal Code (if applicable)
  • Country

International Bank Account Number (IBAN) - 15-34 characters beginning with letter abbreviation for the country. If you are unfamiliar with the IBAN structure or unsure whether your country uses IBAN numbers, visit the IBAN website.

A SWIFT/BIC code consists of 8-11 characters. The first four letters represent the bank and may look like an abbreviated version of the bank name. The next two letters indicate the country where the bank is located.

Most banks include their SWIFT code in customer account details and on their mobile apps, websites, and statements. Otherwise you can request it from your bank. 

Western Union's website provides more information about SWIFT/BIC codes.

Some banks (often those in the United Kingdom) use a SORT CODE (XX-XX-XX). If your bank has a SORT code, please include it here.

Some transfers (often those going to China) require information for a contact person associated with the account. If this is common for your country, please provide their name here and their phone number in the next section.

Please leave a space between the country code and the number.

Every country is a little different, so if you have any additional information or tips for wiring money to your bank, please share that information here.

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Zelle
Please provide information corresponding to your Zelle account. Please confirm the information is accurate, as Zelle transfers cannot be canceled once submitted.

Please enter the full name, exactly as it is on your Zelle account.

Please enter either the phone number or email (or both) associated with the account.