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Fill in this form, please:



YOUR PIN-CODE*


YOUR EMAIL*


YOUR NAME*


YOUR LAST NAME*


YOUR FIRST MESSAGE BEGINS WITH THE WORDS*


YOUR SECOND MESSAGE BEGINS WITH THE WORDS


DETAILS OF PIN-CODE PAYMENT



WAY OF PAYMENT*



IDENTIFY YOUR PAYMENT*

for RUPAY - number of paid bill
for 2CO, e-payments - ID of the payment (transaction or batch)
for Western Union - ID or MTCN



DETAILS OF PAYMENT*

Any payment details for additional identification, for example:
"I paid through exchange.ru with my webmoney e-wallet Z111111111111 to your webmoney e-wallet R120141733275"
or
"I paid by credit card VISA through 2CO"

In any case your payment will be identified, you do not have to worry that it can be lost somehow. These details just help us to identify it faster.



Scanned copy of the receipt (for Western Union) is attached: