BIT Wire Transfer Form – Blacks In Technology Foundation

Please complete the wire transfer form below to receive a payment from the Blacks In Technology Foundation.

W-9 form is required. Download Blank W9 Form

BIT Wire Transfer

Full Name

Preferred Email

Phone

Comments / Notes

Banking Information

Payment Type

Mailed Check

Electronic Wire Transfer

Bank Name

Name on Account

Account Number

Routing Number

W-9 Form or Invoice

Maximum upload size: 268.44MB

Mailing Address

Name on Check

Address

Address Cont.

City

State/Province

Zip/Postal