Prepaid Card to Digital Wallet Transfer Request Form
Submit your request to transfer funds from your prepaid card to your digital wallet. Please provide only the information required to process your request.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Last 4 Digits of Prepaid Card
*
Digital Wallet Provider
*
Please Select
PayPal
Venmo
Cash App
Apple Pay
Google Pay
Other
Digital Wallet Account or ID
*
Transfer Amount (USD)
*
Additional Notes (optional)
Submit
Should be Empty: