Banking Request Form

Banking Request Form
Greetings!

Welcome to the Lions International Banking Request Form.

To provide you with the best possible service, we kindly ask you to complete this short form with your banking information. This ensures timely reimbursements for any applicable transactions.

Your security and privacy are our top priorities. All information you provide will be handled securely and in strict accordance with our privacy policy.

Please Note: At this time, reimbursements for certain countries—Bangladesh, Nepal, Korea, Taiwan, and Sri Lanka—will be processed via paper check. If you are located in one of these countries, this form is not required.

Thank you for your cooperation!

Lions International Finance Team

Name*

First NameLast Name
Street Address*
Steet Address Line 2
City*
State / Province
Postal / Zip Code
Country*
Title*
Phone Number

Country CodePhone Number
Email Address*
example@example.com
District*
What currency is your bank account in?*
Please enter your other currency.*
As a reminder, if your bank account's currency is BDT, KRW, LKR, NPR, or TWD, you do not need to submit this form.

Australia Bank Form
Name on Account*
BSB (Bank State Branch) 6 digits*
Account Number*

Brazil Direct Deposit Agreement Form
Bank Name*
Bank ID Number*
Branch Number*
CNPJ/CPF Tax ID Number*
Account Number*
Is Account Checking or Savings?*

CheckingSavings
Full Name on Account*

Canada Direct Deposit Agreement Form
Bank Name*
Bank Street Address*
Bank Street Address Line 2
Bank City*
Bank State / Province
Bank Postal / ZIP Code
Bank Country*
Transit Number*
Financial Institution Number*
You can find the Transit (branch) Number and Financial Institution Number and your Checking Account Number within the string of numbers located at the bottom of one of your checks. Make sure you are using a check and NOT a deposit slip, since the numbers may not be the same.

The Transit number is a 5 digit number and the Financial Institution number is the 3 digit number.
Account Number*
Is account Checking or Savings?*

CheckingSavings
Full Name on Account*

Euro Payments Direct Deposit Agreement Form
Bank Name*
Bank Street Address*
Bank Street Address Line 2
Bank City*
Bank State / Province
Bank Postal / ZIP Code
Bank Country*
IBAN Number
BIC Code*
Account Number*
Is account Checking or Savings?*

CheckingSavings
Full Name on Account*

Great Britain Payments
Bank Name*
Bank Street Address*
Bank Street Address Line 2
Bank City*
Bank State / Province
Bank Postal / ZIP Code
Bank Country*
Sort Code*
Account Number*
Is account Checking or Savings?*

CheckingSavings
Full Name on Account*

Direct Deposit USD
Bank Name*
Bank Street Address*
Bank Street Address Line 2
Bank City*
Bank State / Province
Bank Postal / ZIP Code
Bank Country*
Routing Number (9 digits)*
Account Number*
Is account Checking or Savings?*

CheckingSavings
Full Name on Account*

Iceland Bank Form
Personal ID Number*
Bank Number*
Ledger*
Account Number*

INR NEFT Payments
Name of Account Holder*
Payee Street Address*
Payee Street Address Line 2
Payee City*
Payee State / Province
Payee Postal / ZIP Code
Payee Country*
Bank Name/Branch*
Bank Account Number*
IFSC Code*

New Zealand Banking
Name on Account*
Bank Number*
Branch Number*
Account Number*
Suffix Number*

Norway Banking Form
Name on Account*
Bank Number*
Swift Code*
Account Number*

Wire Transfer
Recipient Account Currency*
The currency type for the account receiving the wire transfer.
Please enter your other currency.*
Recipient Bank IBAN Number
International Bank Account Number – Maximum of 34 alphanumeric characters
Please note that banking information for a USD bank account can be used.
Recipient Bank Account Number*
Recipient Account Name*
Recipient Account Street Address*
Recipient Account Street Address Line 2
Recipient Account City*
Recipient Account State / Province
Recipient Account Postal / ZIP Code
Recipient Account Country*
Recipient Account Phone Number*

Country CodePhone Number
Recipient Account Email Address*
example@example.com
ABA Routing Number (US Banks only)*
Identification of the US bank receiving the wire transfer; comprised of 9 numeric characters
Bank Swift Code (non-US Banks only)*
Recipient Bank Name*
Intermediary Bank ABA or Swift Code Number
If applicable
Intermediary Bank Name
If applicable

Wire Transfer - Chile
Recipient Account Currency*
The currency type for the account receiving the wire transfer.
Please enter your other currency.*
Recipient Bank IBAN Number
International Bank Account Number – Maximum of 34 alphanumeric characters
Recipient Bank Account Number*
Recipient Account Name*
Recipient Account Street Address*
Recipient Account Street Address Line 2
Recipient Account City*
Recipient Account State / Province
Recipient Account Postal / ZIP Code
Recipient Account Country*
Recipient Account Phone Number*

Country CodePhone Number
Recipient Account Email Address*
example@example.com
ABA Routing Number (US Banks only)*
Identification of the US bank receiving the wire transfer; comprised of 9 numeric characters
Bank Swift Code (non-US Banks only)*
Recipient Bank Name*
RUT (Rol Unico Tributario) Recipient Tax ID Number*
Intermediary Bank ABA or Swift Code Number
If applicable
Intermediary Bank Name
If applicable

Wire Transfer - Colombia
Recipient Account Currency*
The currency type for the account receiving the wire transfer.
Please enter your other currency.*
Recipient Bank IBAN Number
International Bank Account Number – Maximum of 34 alphanumeric characters
Recipient Bank Account Number*
Recipient Account Name*
Recipient Account Street Address*
Recipient Account Street Address Line 2
City*
State / Province
Postal / ZIP Code
Country*
Recipient Account Phone Number*

Country CodePhone Number
Recipient Account Email Address*
example@example.com
ABA Routing Number (US Banks only)*
Identification of the US bank receiving the wire transfer; comprised of 9 numeric characters
Bank Swift Code (non-US Banks only)*
Recipient Bank Name*
RUT (Rol Unico Tributario) Recipient Tax ID Number*
Type of Account*

CheckingSavings
Intermediary Bank Name
If applicable
Intermediary Bank ABA or Swift Code Number
If applicable

Wire Transfer - Mexico
Recipient Account Currency*
The currency type for the account receiving the wire transfer.
Please enter your other currency.*
Recipient Bank IBAN Number
International Bank Account Number – Maximum of 34 alphanumeric characters
Recipient Bank Account Number*
Recipient Account Name*
Recipient Account Street Address*
Recipient Account Street Address Line 2
City*
State / Province
Postal / ZIP Code
Country*
Recipient Account Phone Number*

Country CodePhone Number
Recipient Account Email Address*
example@example.com
ABA Routing Number (US Banks only)*
Identification of the US bank receiving the wire transfer; comprised of 9 numeric characters
Bank Swift Code (non-US Banks only)*
Recipient Bank Name*
CLABE Number*
18 digits
Intermediary Bank Name
If applicable

Wire Transfer – PKR
Recipient Account Currency*
The currency type for the account receiving the wire transfer.
Please enter your other currency.*
Recipient Bank IBAN Number
International Bank Account Number – Maximum of 34 alphanumeric characters
Recipient Bank Account Number*
Recipient Account Name*
Recipient Account Street Address*
Recipient Account Street Address Line 2
City*
State / Province
Postal / ZIP Code
Country*
Recipient Account Phone Number*

Country CodePhone Number
Recipient Account Email Address*
example@example.com
ABA Routing Number (US Banks only)*
Identification of the US bank receiving the wire transfer; comprised of 9 numeric characters
Bank Swift Code (non-US Banks only)*
Recipient Bank Name*
Date of Birth of Recipient*

MonthDayYear
Date
Place of Birth of Recipient*
Passport Number for Recipient*
National ID for Recipient*
Citizenship of Recipient*
Intermediary Bank Name
If applicable
Intermediary Bank ABA or SWIFT Code Number
If applicable

Wire Transfer Paraguay
Recipient Account Currency*
The currency type for the account receiving the wire transfer.
Please enter your other currency.*
Recipient Bank IBAN Number
International Bank Account Number – Maximum of 34 alphanumeric characters
Recipient Bank Account Number*
Recipient Account Name*
Recipient Account Street Address*
Recipient Account Street Address Line 2
City*
State / Province
Postal / ZIP Code
Country*
Recipient Account Phone Number*

Country CodePhone Number
Recipient Account Email Address*
example@example.com
ABA Routing Number (US Banks only)*
Identification of the US bank receiving the wire transfer; comprised of 9 numeric characters
Bank Swift Code (non-US Banks only)*
Recipient Bank Name*
Date of Birth of Recipient*

MonthDayYear
Date
Place of Birth of Recipient*
Passport Number for Recipient*
National ID for Recipient*
Citizenship of Recipient*
RUC (Cedula de Intentidad) Tax ID Number for Recipient*
Intermediary Bank ABA or SWIFT Code Number
If applicable
Intermediary Bank Name
If applicable

Ready to Submit?
Should be Empty:

Banking Request Form

Australia Bank Form

Brazil Direct Deposit Agreement Form

Canada Direct Deposit Agreement Form

Euro Payments Direct Deposit Agreement Form

Great Britain Payments

Direct Deposit USD

Iceland Bank Form

INR NEFT Payments

New Zealand Banking

Norway Banking Form

Wire Transfer

Wire Transfer - Chile

Wire Transfer - Colombia

Wire Transfer - Mexico

Wire Transfer – PKR

Wire Transfer Paraguay