Intercropping Payment Request

Dear Valued Client,

Please use the below form to submit your annual intercropping request.

Please Note;

1) We are currently paying intercropping fees for Agreements that where created in the year 2022 and before. Agreements that where created in 2023 will be paid out in 2024.

2) SWIFT transfers are available for intercropping. Please Click Here if you would like to be paid via WISE.COM.

* Your Ownership Details *

Client Full Name *

First

Last

As it appears on your Agreement.

Client Agreement Numbers *

Begins with THT, MKD or THR. If you have multiple agreements you are claiming for, please separate the agreement numbers with a comma ","

* Your Payment Details *

Account Beneficiary

The full name of the account holder, EXACTLY like it appears on your account statment.

Bank Name *

Swift Code *

Account Number or IBAN (No Spaces) *

If you are inside the EU, please provide IBAN

Currency of Bank Account to be paid *

The default payment currency for our intercropping program is USD, Exchange rate fees will apply for payments in other currencies.

Account Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Address of account holder, exctly like it appears on your statement.

Your Email *

Mobile Phone *

Comment or Message (optional)

Any comments or message you have for us.

Please Note: The base currency for intercropping is USD, payment in any other currency than USD will result in exchange change fees which are the sole responsibility of the client Any mistakes or errors on this form are the sole responsibility of the client.

Intercropping Payment Request – SWIFT

********* Your Ownership Details *********

********* Your Payment Details *********

* Your Ownership Details *

* Your Payment Details *