New Sender

This form is intended for all our new customers as they are required to open an account with us in order to transfer money. This account will contain sender's information as well as recipient names and addresses. Each account holder can have multiple recipients for the same city or for different cities. There is no charge for opening account with us. For your account number you can contact us on next business day after submitting this form, or we can mail, e-mail or fax you one.

Please fill all applicable sections completely and submit this form using the submit button at the bottom of the page OR you can download this form and fax us back.

click here to download form


Sender's Information

   
Last Name
    
First Name
 
Address
    
City


   
State

   
Zip
  
Home Telephone
   
Work Telephone
 
Please  Choose one!    >>>
              
   

Referred By
 
Authorized Users

By adding authorized users, you can allow friends and relatives to use your account

Receiver's Information

*If your primary receiver is not available , we can deliver to your secondary receiver provided they both live at  a same address

 
Receiver # 1 Name
 
Receiver # 1 Phone
 
Receiver # 2 Name
 
Receiver #2 Phone
 
Address

    
City

    
Area


 
Check for Bank Transfers  (out of Karachi only)*
   
      
Bank Name
  
Branch Name
 
Branch Code
  
Account #


*Bank transfers are for M.CB and H.B.L account holders only.
*Branch code is mandatory for all bank transfers.

                                 

 

 

   
 
Privacy Policy | User Agreement
Advertise @2002 at MoneyXpress Corporation. All Rights Reserved