What is the website you lost money with?
Fill in 1 Website per form and add the web page in a format of www.example.com
What was your payment method that you used to deposit funds to your trading account? *
Credit Card + Wire
If you paid through Credit Card - When was your last deposit with your card? *
For example: 28/10/2016 *If you paid via wire: Please fill 0
The amount you deposited by credit card or transfer *
What is the currency at your trading account?
What is the current balance on your trading account? *
Do you have access to your trading account at present? *
Tell us a little about your story
How did you hear about our services? *
Forex Peace Army
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