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INFORMATIONS TO GIVE
Remember, you must fill this form only after having made the payment at Western Union. Fields marked by * are mandatory. If you don't want to give us your official e-mail address in order to keep anonymity, you can give an anonymous one such as Hotmail or Yahoo!. But you must provide a valid e-mail, otherwise we will not be able to send your username and password to you.
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Sender's Fullname: * | |
| Country: * |
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| Western Union Transfer Code: * |
10-digit numerical code gave by WU |
| Sending date: * |
Accepted date separators: / - . or the simple blank |
Your e-mail: *
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Comments (only necessary to provide other WU directives, such a question, answer, password, etc. Leave blank if you don't have.)
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