Agent Interest Form

Want to become a MoneyGram International agent? Simply complete the form below so we can have the sales executive in your area contact you directly. Or if you prefer, contact us by telephone at 800-328-5678, extension 3300.

(An asterisk indicates required fields)

  
* Company Name:
* Contact Name:
* Company Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
Business Phone:
* Type of Business:
Number of Locations:
* Your Email Address:
Additional Comments:
Check Products which you are interested
MoneyGram® Money Transfer

MoneyGram® ExpressPayment® service

Money Orders

Utility Bill Payment

Gift Certificates

Vendor Payments

Payroll Distribution