IFX Markets Fax: 1-617-357-0055 
419 Boylston Street, Suite 700, Boston MA 02116 USA

Please fill this form on your computer prior to faxing or mailing.

Client's Information

Customer Name
Customer Account Number
Customer User Name
City, State, Zip
Transfer Amount in USD
From Account Number
To Account Name
To Account Number
Are you closing your account?
(please answer YES or NO)

Customer Signature


Thank you for using IFX Markets.  If you have any questions or concerns, please
contact us at 1-617-357-0682.


Disclaimer: I understand and accept that by signing above, I have requested for funds to be transferred out of my IFX Markets Margin Account and into the account of the named IFX Markets Margin Account holder who will be assigned custody of such funds in the full amount and he/she will have all rights thereof.   I shall hold IFX Markets harmless of any and all claims to such funds upon proper credit to the above named IFX Markets Margin Account holder.

IFX Markets is a division of IFX Markets Inc.
NFA ID: 0327627 Regulated by the CFTC