Preliminary Count Form

PLEASE READ BELOW BEFORE FILLING OUT FORM.

THIS IS ONLY A PRELIMINARY COUNT FOR ESTIMATING PURPOSES ONLY. THIS IS NOT A LEGAL SUBMISSION, AND YOU ARE NOT LIMITED TO THIS AMOUNT. DO NOT FILL THIS FORM OUT TWICE. ALL INFORMATION SUBMITTED IS CONFIDENTIAL AND WILL NOT BE SHARED WITH ANYONE. If you receive an error message, try a different browser.

Please enter the total amount you plan on exchanging

Enter digits/numbers only, do not enter text in the boxes. Please make sure that the amount of zeros on your IQD and VND submissions are accurate. Use the chart below when specifying large amounts for IQD and VND ONLY. If you look at your actual notes for IQD and VND, you will also see the numbers on the notes. FOR IQD and VND:
1 million – 6 zeros: 1,000,000
10 million - 7 zeros: 10,000,000
100 million - 8 zeros: 100,000,000
1 billion - 9 zeros: 1,000,000,000

First Name:*
Last Name:*
Email:*
VND amount:
(Vietnamese Dong)
IQD amount:
(Iraqi Dinar)
ZIM Number of trillion:
(Zimbabwe Dollar): Only 50 Trillion and 100 Trillion notes are accepted. Enter ONLY the numerical amount of trillions, such as "300" for 300 trillion:
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