Transfermex Enrollment Form(WLW2 Consulting, LLC Referral)

Transfermex Enrollment Form

(WLW2 Consulting, LLC Referral)

PROSPECTIVE BUSINESS CLIENT DUE DILIGENCE WORKSHEET

Business Information

1a. Legal Name of Entity:*

As displayed on your Federal Tax Identification documents or letters.

DBA:

Leave blank if not applicable.

State of Incorporation:*

Select

Date of Incorporation:*

Principal Office Address:*

Other Locations:

Leave blank if only one location

Type of Business:*

Select

Ownership Structure:*

Private

Public - Ticker Symbol:

Government

Description of the Business:*

4. Tax ID or Social Security Number:*

7. H-2A Visa Employees

7. H-2B Visa Employees

Number of TransferMex Mastercards

Contact Information

Primary Contact Person(s):*

Title:*

Address:*

Email:*

Phone:*

Phone

TransferMex Enrollment Authorization

By submitting this form, you are requesting to enroll in TransferMex. Upon completion, your order will be automatically routed to TransferMex. The TransferMex team will contact you to finalize your enrollment process and collect all required legal documents and employee data.

Send me a copy of my responses

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