EuroGoldExchanges Buy c-gold, Buy e-gold, Buy Pecunix, C-gold

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Modify a Buy Order

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This Form is for modifying an EXISTING Order ONLY

This will Cancel, and Replace your Original Order with the new information below.

Faster / Safer Process:
Due to the large volume of wires we receive each day, in order to speed up wire processes, and avoid confusion, instead of sending rounded dollar amount bank wires, please add cents to your bank wire amount according to the last 2 digits of your gold account.
Examples:

Planned Amount:	Your e-gold account:	Send Wire Amount:
$500.-	3134567	$500.67
$1,500.-	2934592	$1,500.92
$3,000.-	2234522	$3,000.22

Also, please adjust your order amount accordingly.

Our Order form below contains a javascript calculator that will give you the exact amount we will send to your account, according to the Type of account you fund, the Amount or your order, and your selected Payment method.

e-mail address restrictions:
Plase note that our customers using safe-mail.net e-mail addresses do not seem to receive our confirmaiton e-mails. If you have a safe-mail.net e-mail address, PLEASE USE ANOTHER e-mail address for your orders.

Original Order Number: *

(Mandatory)

(Your original order Number was something like 3-11BE1234567,
Where: 1- = Month, 11 = Day, EG = e-gold, 1234567 = Your Account Number.)

The Information you input below will be the New / Correct Info.
(All fields marked * are required)

Fund: *

Fund Account Number: *

Your Account Name: *

Form of your Payment: *

Gross Amount Sent: *

(9999.99 format)

Example: 1500.25: Do NOT use «,» (commas) in the Amount sent

We will Spend:

To your account

Your First Name: *

Your Last Name: *

Your e-mail Address: *

Your Home Address: *

Your City: *

Your State: *

Your Zip Code: *

Your Country: *

Home Phone (No cellular): *

(123-555-1212 format)

Office / Cellular: *

(123-555-1212 format)

Payment details: * (your Bank / Acct Name)
Modifications Made *	(Mandatory)

Last Order Number:

(Optional)

New / Non Verified (yet) Customers Only:
Please fill the fields below: Select Best time of Day we can call you to verify your order:
(Based on your own time zone)

Home Phone: *

Office / Cell: *

By submitting the present Form you confirm having read and understood
our Disclaimer, and to acceptance of our Terms and Conditions.

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