^SITEDESC^
^SITEPATH^
^domainident^
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^title^
Money Transmittal Form
Amount
^selectcurrency^
Amount to send.
Sender Information
Full Name
Complete name of the sender
Contact 1
Primary Contact of Sender (cellphone or email)
Contact 2
Secondary Contact of Sender (cellphone or email)
Recipient Information
Full Name
Complete name of the recipient
Contact 1
Primary Contact of Recipient (cellphone or email)
Contact 2
Secondary Contact of Recipient (cellphone or email)