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Name: __________________________________________________ Place of Birth: _____________________________________________ Sign your name in this space: Please fill in for Style B: Sex _____ Weight _______ Height _________ Hair color ________ Eye color _____________ If possible, please give weight in pounds and height
in
feet &
inches. Note: If we need to send your IDP outside the U.S.A. or via private courier, please contact us as extra postage may need to be calculated. Have questions? Call Claudia at 1-570-647-4400 Credit Card or PayPal : Send us your order form by copying & pasting it into an e-mail and filling in the requested information or faxing to (call for number). Attach your photo in a .jpg or .gif format. Click here for payment page. OR
Send Application, 2 passport-size photos and $95 to:
Where should we send your completed IDP? Name:___________________________________________________ Address: _________________________________________________ ________________________________________________________ |
| Alternate address for large attachments |