{"id":539,"date":"2021-06-21T18:53:20","date_gmt":"2021-06-21T18:53:20","guid":{"rendered":"https:\/\/promorangco.com\/?page_id=539"},"modified":"2021-07-16T20:56:02","modified_gmt":"2021-07-16T20:56:02","slug":"payout-request-form-bank-account","status":"publish","type":"page","link":"https:\/\/promorangco.com\/es\/payout-request-form-bank-account\/","title":{"rendered":"Payout Request Form &#8211; Bank Account"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"539\" class=\"elementor elementor-539\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3130901 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3130901\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3849253\" data-id=\"3849253\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-88158da elementor-widget elementor-widget-spacer\" data-id=\"88158da\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a41fa0 elementor-widget elementor-widget-heading\" data-id=\"0a41fa0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Submit your Bank payout request form.   <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c6d233 elementor-widget elementor-widget-text-editor\" data-id=\"1c6d233\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tPlease fill this form to begin the payout process to your bank account. Please remember that each transaction has a 5% transaction fee for bank payouts.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1072b0d elementor-widget elementor-widget-spacer\" data-id=\"1072b0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a1583a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a1583a4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-80a58be\" data-id=\"80a58be\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b69aab8 elementor-widget elementor-widget-shortcode\" data-id=\"b69aab8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2558f88 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2558f88\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31e2bd2\" data-id=\"31e2bd2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ca6d29a elementor-widget elementor-widget-shortcode\" data-id=\"ca6d29a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-316\"><form id=\"wpforms-form-316\" class=\"wpforms-validate wpforms-form\" data-formid=\"316\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/539\" data-token=\"16ff7f91c7431b9c018ebb527e64bef2\" data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/539\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-316-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_22\">Name of Bank<\/label><input type=\"text\" id=\"wpforms-316-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-316-field_23-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_23\">Country<\/label><select id=\"wpforms-316-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\"><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia (Plurinational State of)\" >Bolivia (Plurinational State of)<\/option><option value=\"Bonaire, Saint Eustatius and Saba\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvet Island\" >Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cabo Verde\" >Cabo Verde<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" >Cocos (Keeling) Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo (Democratic Republic of the)\" >Congo (Democratic Republic of the)<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cura\u00e7ao\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Eswatini (Kingdom of)\" >Eswatini (Kingdom of)<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" >Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >French Guiana<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"French Southern Territories\" >French Southern Territories<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >Gambia<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Heard Island and McDonald Islands\" >Heard Island and McDonald Islands<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran (Islamic Republic of)\" >Iran (Islamic Republic of)<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland (Republic of)\" >Ireland (Republic of)<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea (Democratic People&#039;s Republic of)\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"Korea (Republic of)\" >Korea (Republic of)<\/option><option value=\"Kosovo\" >Kosovo<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" >Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macao<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia (Federated States of)\" >Micronesia (Federated States of)<\/option><option value=\"Moldova (Republic of)\" >Moldova (Republic of)<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"New Caledonia\" >New Caledonia<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"Norfolk Island\" >Norfolk Island<\/option><option value=\"North Macedonia (Republic of)\" >North Macedonia (Republic of)<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine (State of)\" >Palestine (State of)<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"R\u00e9union\" >R\u00e9union<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena, Ascension and Tristan da Cunha\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin (French part)\" >Saint Martin (French part)<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Sint Maarten (Dutch part)\" >Sint Maarten (Dutch part)<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\" >South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syrian Arab Republic\" >Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\" >Taiwan, Province of China<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania (United Republic of)\" >Tanzania (United Republic of)<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom of Great Britain and Northern Ireland\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"United States Minor Outlying Islands\" >United States Minor Outlying Islands<\/option><option value=\"United States of America\" >United States of America<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican City State\" >Vatican City State<\/option><option value=\"Venezuela (Bolivarian Republic of)\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Virgin Islands (British)\" >Virgin Islands (British)<\/option><option value=\"Virgin Islands (U.S.)\" >Virgin Islands (U.S.)<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><option value=\"\u00c5land Islands\" >\u00c5land Islands<\/option><\/select><\/div><div id=\"wpforms-316-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_12\">Account Type <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-316-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"Individual\" >Individual<\/option><option value=\"Business\" >Business<\/option><\/select><\/div><div id=\"wpforms-316-field_14-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"14\"><h3 id=\"wpforms-316-field_14\" name=\"wpforms[fields][14]\">Receiver Information<\/h3><\/div><div id=\"wpforms-316-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_1\">Requested By <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-316-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-316-field_1\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-316-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-316-field_1-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-316-field_13-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_13\">Address<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-316-field_13\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][13][address1]\" ><label for=\"wpforms-316-field_13\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-316-field_13-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][13][address2]\" ><label for=\"wpforms-316-field_13-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-316-field_13-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][13][city]\" ><label for=\"wpforms-316-field_13-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-316-field_13-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][13][state]\" ><label for=\"wpforms-316-field_13-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-316-field_13-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][13][postal]\" ><label for=\"wpforms-316-field_13-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-316-field_13-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][13][country]\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda <\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica <\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas <\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-316-field_13-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-316-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_2\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-316-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-316-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_3\">Phone<\/label><input type=\"tel\" id=\"wpforms-316-field_3\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][3]\" ><\/div><div id=\"wpforms-316-field_15-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_15\">Date of Birth<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-316-field_15\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][15][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-316-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><h3 id=\"wpforms-316-field_16\" name=\"wpforms[fields][16]\">Payout Information<\/h3><\/div><div id=\"wpforms-316-field_4-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_4\">Date Requested<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-316-field_4\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][4][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-316-field_11-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_11\">Amount Requested<\/label><input type=\"text\" id=\"wpforms-316-field_11\" class=\"wpforms-field-medium wpforms-payment-user-input wpforms-payment-price\" data-rule-currency=\"[&quot;$&quot;,false]\" name=\"wpforms[fields][11]\"><\/div><div id=\"wpforms-316-field_17-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"17\"><h3 id=\"wpforms-316-field_17\" name=\"wpforms[fields][17]\">Bank Details<\/h3><\/div><div id=\"wpforms-316-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_18\">Name of Account Holder<\/label><input type=\"text\" id=\"wpforms-316-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-316-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_19\">Routing Number<\/label><input type=\"text\" id=\"wpforms-316-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-316-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_20\">Account Number<\/label><input type=\"text\" id=\"wpforms-316-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/div><div id=\"wpforms-316-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-316-field_21\">Confirm Account Number<\/label><input type=\"text\" id=\"wpforms-316-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"316\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-316\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Submit your Bank payout request form. Please fill this form to begin the payout process to your bank account. Please remember that each transaction has a 5% transaction fee for bank payouts.<\/p>","protected":false},"author":1,"featured_media":1438,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-539","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/pages\/539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/comments?post=539"}],"version-history":[{"count":13,"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/pages\/539\/revisions"}],"predecessor-version":[{"id":1199,"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/pages\/539\/revisions\/1199"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/media\/1438"}],"wp:attachment":[{"href":"https:\/\/promorangco.com\/es\/wp-json\/wp\/v2\/media?parent=539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}