Tax and Payment Form

You must complete the applicable portions of the below form, to receive your "Image Creators Guild Pro" Payments. Once Image Creators Guild has confirmed receipt of your submission, you will be eligible for payment upon the next scheduled "Image Creators Guild Pro" distribution.

TAX INFORMATION:

U.S. Tax Filing Status Member I.D. Number First Name Middle Name Last Name Address 1 Address 2 City State Zip Code Country Of Residence Business Name Social Security Number or T.I.N.

PAYMENT INFORMATION

Paypal Account
Or for U.S. Residents ONLY

Bank Name Bank Address Bank Routing Number Bank Account Number

WE WILL CONTACT YOU AT THE PROVIDED EMAIL ADDRESS UPON REVIEW OF YOUR REQUEST.
THANK YOU FOR YOUR INQUIRY.