Cashback Rebate Requesting Form
Apply for the cashback rebate of Primecashback (PCB) through this form.
Sign in to Google to save your progress. Learn more
Your Name (Full Name) *
Trading Account Number *
Make sure to insert the correct numbers otherwise you won't be able to receive cashback rebate.
Your Email Address *
Insert the email address you used to open the trading account.
Forex Broker (Cashback Amount) *
If you have accounts with multiple brokers, send another request through this form later.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report