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Money Transmittal Form

^currency^ Amount to send. This is the total Service Charge that you will get from the sender. This is the total amount that you will get from the sender.
Sender Information
Complete name of the sender
Primary Contact of Sender (cellphone or email)
Secondary Contact of Sender (cellphone or email)
Recipient Information
Complete name of the recipient
Primary Contact of Recipient (cellphone or email)
Secondary Contact of Recipient (cellphone or email)