Transcription of VIP PASSPORT SERVICES, INC.
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VIP PASSPORT SERVICES, INC.
VIP PASSPORT services , INC. 2012 Louisiana Street Houston, Texas 77002 713- 659- 8472 1- 800- 856- 8472 Fax 713- 659- 3767 Website: Email: WORK ORDER REQUEST FORM (RETURN THIS FORM WITH EACH REQUEST) BILLING INFORMATION:RETURN DOCUMENTS TO: CONTACT: _____ CONTACT: _____ COMPANY: _____ COMPANY: _____ ADDRESS: _____ ADDRESS: _____ CITY/ST: _____ CITY/ST: _____ PHONE: _____ PHONE: _____ CELL: _____ CELL: _____ FAX: _____ FAX: _____ EMAIL: _____ EMAIL: _____ CREDIT CARD INFORMATION: BILLING INSTRUCTIONS:CARD#: _____ YOUR OR REF#:_____ EXP. DATE: _____ CVV#: _____ SIGNATURE OF CARD HOLDER AUTHORIZED AMOUNT TO CHARGE MY REQUIRED: _____ CREDIT CARD: US$_____ TRAVEL INFORMATION: TRAVELERS NAME: _____ DATE OF USA DEPARTURE: _____ DATE OF BIRTH: _____ DATE YOU NEED PASSPORT : _____ RUSSIAN ONLINE APPLICATION DATA (REQUIRED): APPLICATION NUMBER:_____ APPLICAION PASSWORD:_____ VIP RESERVATION/FILE LOCATOR NUMBER: _____ SPECIAL INSTRUCTIONS: _____ _____ HOW DID YOU HEAR ABOUT VIP?
VIP PASSPORT SERVICES, INC. 2012 Louisiana Street Houston, Texas 77002 713 -659 -8472 1-800 -856- 8472 Fax 713-659- 3767 Website: www.vippassports.com
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