Wire Transfer Receipts 2
Wire Transfer Receipts 2
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REFERENCE
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AGENT USE ONLY .Rf~Wt!lfJtJlt~ T911S9119pmVlH rA3PblH 6srnex X3C3r . ./ Authorisation Code I J5!iiUklilO
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Tickhereijyouare receivingmoneyon behalfofsomeoneelseorforan o~anisation.PleasealsocompletetheThirdPartysectiononthe reverseoftheAgentcopyof thisforrn./~*'&'HHt~Ji(Ali!liIl!llI/l(~1itl!li, "'~iliJH:iIl, i!l,"liIl!OJH:~!II rMffJ ~*'Il'iiliit.J rlll=.hJ $*. IX,P3B 'ra eep XyH 6ylOy
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This is our standard form client agreement upon which we intend to rely. For your own benefit and proteclion, you should read the terms and conditions which apply to your transaction on the reverse ofthe form carefully before signing below. Ifyou do not understand any point please ask for further information, I acknowledge receipt of the MoneyGramtransfer as providedabove. . ~lI!'lI!ir'Jn.1llflllll.JlIit!!~iti!i'pmltl, <II7 mUll GIlI.Jt1J~m1l!tfim, .1!lU~*,1TtIIIllIIlIlMm~tmlll.Jj/;gzlil\~JlijIil\f.i' (/!L~"'I3Il1.J'/filii), Z It;tffl'1:ifi:jS, ~DlUJfffriJ-Ili1'II!JMi1, "05*~~-~it.Jj!U!\, 'lI!jj!cl!!liL>!;m~: I/l(~ MoneyGram I!!!:~, 3H3 60n 6MAHMM HaMAaXbll"" 3pM3n33)1( 6YM MaHaM vMnlCnyyn3~MMH,.CTaHAapT x3n63pMMH r3p33 .oM. Ta eepMMH aWMI"" rye, XaMl""aananTblH" renee, AOOP npblH VC3'- aypaxaacaa eMHe MiUHTblH ueree TanA 6YM HexunYY,AMMI"" XJlHaM.-aM YHWM)I( -raaanuax Hb 3yMT3M. X3P3B 'ra ane H3'3y"nMM'OMnl""OxryM 60n, H3M3RT M3A33R3n . XVCH3 yy._6M r A33p aaacaaynaa MoneyGram-blH ryMByynrblr xyn33H aecuaa HOTOn)l( 6aMHa.
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MoneyGram may use !he informationprovidedon this formfor the purpose of sending you furtherinformationabout the services offeredby MoneyGram. Ifyou wish to receivesuch information,please tickthis box./J!I!!!::;?i1iJm:~mJH:"'!IIPlIll.Jf,.,1.l,~M>!.~!IIlJ!I!!!:~mi#it.Jfi~~it.J;ltft!lm,,,,. 'tl'~~ml/l(iIJ JH:n:m,." l\'i~iliJH:m, I MoneyGram 3H3 Ma.rraA erCSH M3A33nn~"r TaHA Mo.neyGram-bIH y3YY~A3r y"n4~nr33HYYA~"H ranaap H3M3JlT M3A3311::m"IAJ1f33X 30pYlJ1rOop auiarnax 6011.HO. X3P3B Ta YI~M M3A33J13n XY1133H aauaap 6aVlBan", 3H3 HYAYlVIr T3MA3rmH3'YY 0
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