MONEYGRAM PAYMENT CONFIRMATION

    MONEYGRAM REFERENCE CODE (8 Digits) :
    ORDER NUMBER :
    YOUR NAME :
    YOUR FAMILY NAME :
    YOUR COUNTRY :
    AMOUNT (specify currency) :
    RECEIVER'S NAME :
    RECEIVER'S FAMILY NAME :
    EMAIL :
    ADDITIONAL INFO :
    PICTURE/SCREENSHOT OF PAYMENT RECEIPT :

    All the requested information need to match exactly with your MoneyGram receipt, we will not be able to withdraw the amount in case of any mistake