Bank Remittance Application/Update Form

Please fill-out this form to register or update your bank account information with MEANS to receive your gifts directly to your bank account. Send your questions or clarifications to [email protected].We will get back to you for verification and confirmation of your account.

Recipient Code *

This is your 5-character account no. with MEANS (ie. R1234).

Church/Ministry Name *

Church Address *

Administrator *

Primary Email Address *

2nd Email Address *

Cell Phone No. *

Text/SMS No. *

Enter the no. for text messaging

Facebook Account *

Bank Signatory Name 1 *

MEANS requires 2 Bank Signatories or more for the bank account

Bank Signatory Name 2 *

Bank Signatory Name 3

Bank Name *

Branch Location *

Bank Address 1 *

Bank Address 2 *

Bank City *

Bank Country *

Name on the Bank Account *

Specify the name on the Bank account. Must be the name of the church or mission organization.

Bank Account No. *

Re-enter Bank Account No. *

Bank Swift Code *

Make sure to verify your swift code with your bank.

Re Enter your Bank Swift Code *

We just want the accurate entry.

Account Type *

Account Currency *

Pesos

Dollar

Note: We highly prefer you provide us a PESO account.

Please include picture or pdf of the passbook or statement page showing the account no..

a picture or pdf of a page will do.

Submitted by (Full Name) *

Additional Comments/Instructions

Yes *

I confirm that I filled out the form correctly based on current information.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question * 3 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.