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white space for scanning onto your ID card. Name:
_____________________________________________________
__________________________ Address: ___________________________________________________ S.S. #: ____________________________________ Date of Birth: ___________________________ Agency or Organization Name:__________________________________ License or ID Number: _________________________ Sex: _____ Height _______ Weight ________ Eye color
___________ Hair color
_________ Note: If item does not reach you and Priority Mail with confirmation is not checked, the replacement cost is $50 if loss is claimed within 30 days. (It's very rare that a package goes astray.)
_____ Please send my item via
Priority Mail with
confirmation. I've added on an extra $5! Credit Card, PayPal payments: Send us your order form by copying & pasting it into an e-mail and filling in the requested information or faxing (call first). Attach your photo in a .jpg or .gif format. Click here for payment page. OR Please send Application, 2 passport-type
photos and
$65 plus anything addition as in Note above:
Where should finished ID(s) be sent? Name:________________________________________________________ Address: ______________________________________________________ _____________________________________________________________ Phone and/or e-mail: _____________________________________________ Have questions? Call us at 1-570-647-4400 |
| Justyce4all@ymail.com for large attachments |