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Wire Notification Form

Student Incoming Wire Notification Form

    * denotes required fields
1. Requester Information
Date:
Re: Student Billing
Contact Name:*
First Name
 MI
 Last Name
Sender Information:
Sender Contact Name:
Email Address:*
Phone Number:*
2. Wire Information
Payee:* Regents of the University of California, Santa Barbara
Amount:* (Be sure to include wire fees)
Purpose of the Wire (For the benefit of; Intended Recipient):*
Transaction Number:
Estimated Arrival:*
3. Bank Information
Originating Bank:*
City:
Enter only one of the following:
Domestic
Non U.S.
State:* Country Name:*
4. Student
Student Name:
Student ID:
5. Comments (Optional)
Contact: Cashiers Office 805-893-2177

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