Money Remittance

Money Remittance

Payment Form
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number
Please enter a valid phone number.Format: 0000-000-0000.
Character Name*
Exact Character Name
Amount Sent*
Please make sure to select the amount you sent.
Money Remittance Center*
Select a remittance center where you sent the payment.
MTCN / Control Number / Ref. No.*
Please enter the exact MTCN / Control Number
STREAMER CODE (Optional)
Streamer codes will only be recognized if they are included in the donation form that was sent upon donating.
Transaction Receipt*

Attached the receipt containing the information of the payment.
Cancelof
Please verify that you are human*
Should be Empty: