WIB@Home     E-Payment Setup
New Customer WIB@Home Setup

Customer Name:
Address:
Utility Account #:
Telephone #:
Account #:
Currency:
Identification #:
WIB@Home (7middle Digits)

Activation of this request is subject to the final approval of the aforementioned Utility Company and The Windward Islands Bank.
I hereby confirm receipt of the general Conditions, which governs this service provided by the Windward Islands Bank Ltd.
Discontinuation of this Transfer can only be done in writing.

Signed on , philipsburg, Sint Maarten N.A.
Customer
Utility Company W.I.B.