SmilePayout - SCL.Formular

First name

Last name

Resident in

Email address with which your SMILE profile is registered

Telephone number

IBAN number

(your international bank account number. You can find it in your online banking under account terms and conditions or by contacting your bank's customer services)

SWIFT/BIC code

(a code that identifies your bank. You can find it in your online banking under account terms and conditions or by contacting your bank's customer services)

I am a SMILE+ member (tick the box)

(If you are a SMILE+ member, you will be refunded the amount you paid for your membership)

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