as it should appear on your payment

If you select PayPal, please ensure the email address provided at the top of this form is the email associated with your PayPal account.
Zelle & PayPal payments are transferred immediately after processing. Please note, PayPal is only available for individuals outside of the U.S. and Canada.


Zelle Details (if selected as the payment preference above)

To have a Zelle payment processed, you must have a Zelle account before submitting this form.

Form W-9 is only required if you are being or expect to be paid more than $600 by EMA this calendar year.


If your submission is successful, you will see a green confirmation message and receive a confirmation by email. If you do not see the confirmation message or receive the email, please resubmit.

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