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Phone/Mobile

First Name

Last Name

Date Of Birth

Identification Number

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Address

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Address Line 2

City

State

Zip Code

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Label Name:

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If you DO have an existing account with P Tune Studio, please list the Account # below:

YouTube Channel Name

YouTube channel UID

YouTube Channel URL

Do You Need CMS Created Channel

CMS Create Channel Name

Payout via

Account Holder Name

Account Type

Bank Account Number (IBAN)

Swift Code | Bank Identifier Code (BIC)

Bank Name

Branch Name

Bank Routing No.

Payoneer Account Name

Payoneer Account Email