Loyalty Shopper - Cashout Request Form

Hi ,
Please use this form to Submit a Cashout Request.
You MUST be logged in.
Please ensure that you have sufficient points to cashout, this must be at least 3000 'Awarded Points' on your Statement and Referral Statement combined.

Please enter your full name:

Enter the amount, in points, you wish to withdraw:

Normal points:

Referral points:

If paypal, this must be to your registered email address.

If cheque, enter full postal address here:

Thanks, your request will be processed within 5 working days.

Cashout Request Form

If BACS, enter Bank Sort Code here:

Account name (exactly as it appears on your cheques):

Account number:

By submitting your details via this form you agree to us holding them for the sole purpose of fulfilling cashout requests. We will delete your details at any time upon request.

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