Alliance Direct Collect Form
Thanks for choosing Alliance Direct Collect Service today. When selecting this method to process your MoneyGram transaction, kindly note the processing times below (which could be subject to change):
● Forms submitted online between Monday - Friday 8:30am - 12pm will be processed same day by the latest 4:00pm.
● Any transactions submitted after 12pm will be processed with-in next business day.
Additionally, you will receive a email after submitting this form. Please be sure to check your spam/junk mailbox if you don't see it in your inbox.
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Please insert today's date:
MoneyGram Reference #
First Time User?
Alliance Prepaid MasterCard (Last 4 digits)
Receiver's First Name
Receiver's Last Name
TRN (Taxpayer Registration Number)
Date of Birth
Administrative (Secretary, Paralegal)
Agriculture (Farmer, Forestry, Animal Care)
Cleaning Services (Maid, Janitorial)
Construction Worker (Residential/Commerical)
Customer Care/Call Center Support
Education (Teacher, Administrator, Writer)
General Labor (Mason, Construction)
Healthcare Services (Nurse/Lab/EMT)
Professional Driver (Taxi/Trucking/Delivery)
Public Official, Legislator, etc.
Restuarant/Food Services (Cook, Servers)
Retail (Store Manager, Cashier, Stocker)
Unemployed/Not in labor force
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