Order Form for Offshore Bank Account Introduction with Prepaid VISA Debit Card
This is the order form for the bank account introduction with offshore prepaid VISA, MasterCard or American Express debit card.
Do not complete this form if you have not made a payment in amount of US $100 to us.
YOUR DATA WILL BE HELD ABSOLUTELY DISCREET!
THIS FORM WILL BE SENT OVER SECURE CONNECTION. THAT MEANS THAT ALL DATA PASSING FROM YOUR LOCATION TO OUR WEB AND E-MAIL SERVER WILL BE ENCRYPTED AND NOT VISIBLE TO THIRD PARTIES. INTERNET PROVIDERS ON THE LINE WILL NOT BE ABLE TO CATCH OR SPY ON SUCH DATA. THIRD PARTIES WILL NOT BE ABLE TO SEE THE DATA WHICH YOU ENTER HERE. YOUR PASSWORD AND ANY DATA SENT WILL NOT BE STORED IN CLEAR TEXT FORM, BUT IT WILL BE ENCRYPTED BY THE HIGHEST ENCRYPTION TECHNOLOGY.
COMPLETE ALL FIELDS MARKED IN BOLD TEXT!!
MONEYGRAM® is a registered trademark of MONEYGRAM INTERNATIONAL, INC.. We are not affiliated with or sponsored by MONEYGRAM INTERNATIONAL, INC..
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