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VISA ORDER FORM #2

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Phone: 1-800-598-7240 Fax: 202-986-4130 Questions: 2300 Wisconsin Ave.,NW, Suite 200-A Washington, DC 20007 VISAS & PASSPORTS 2 GO, INC. AUTHORIZATION LETTER I, ___________________________ authorize Visas and Passports 2Go Inc., to submit and receive my passport request as well as discuss with the State Department any problems or questions pertaining to my application. My date of birth is________________. My departure date from the is __________________. Original Signature:______________________________ _ (photocopied signatures not accepted)

VISA ORDER FORM VISAS & PASSPORTS 2 GO, INC. 2300 Wisconsin Ave. NW, Ste 200‐A, Washington, DC 20007

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