Customer Information
(home
address)
| NAME: |
_________________________________________________________________ |
| DATE
OF BIRTH: |
_________________________________________________________________ |
| ADDRESS: |
_________________________________________________________________ |
| CITY,STATE,ZIP |
_________________________________________________________________ |
| TELEPHONE: |
_________________________________________________________________ |
| FAX: |
_________________________________________________________________ |
| US
DEPART DATE: |
_________________________________________________________ |
| DATE
NEEDED IN POSSESSION: |
_________________________________________________________________ |
Ship Passport
To: (leave blank if same
as Customer Information)
| NAME: |
_________________________________________________________________ |
| COMPANY: |
_________________________________________________________________ |
| ADDRESS: |
_________________________________________________________________ |
| CITY,STATE,ZIP |
_________________________________________________________________ |
| TELEPHONE: |
_________________________________________________________________ |
| FAX: |
_________________________________________________________________ |
Other Services
Needed
VISAS:
__________________________________________________________________________
OTHER:
__________________________________________________________________________
Overnight Passport
Fees:
Same Day
Service: $275.00 (includes
shipping & handling)
Same Day
Service Saturday delivery: $300.00 (includes
shipping & handling)
Rush
Service: $165.00 (includes
shipping & handling)
Express
Service: $135.00 (includes
shipping & handling)
Standard
Service: $100.00 (includes shipping
& handling)
Total
Enclosed: _____________________
FED-EX ALL DOCUMENTS
TO THIS ADDRESS:
OVERNIGHT PASSPORT COURIER
ATTN: JERRY EISOM
187 DARTMOUTH STREET
BOSTON, MA 02116
Please call with your FED-EX air bill tracking numbers.
Return Shipping
Details:
-
All materials returned via FedEX
unless using standard service.
-
Note: FedEX does not ship to
P.O. Boxes
-
If including prepard FedEX Airbill
or FedEX account number, be sure to note below in the Fees section
IMPORTANT:
Be
sure to check off tasks on the processing instruction steps.
NOTE:
You
will be providing two checks:
1) check to Overnight Passport
2) check to US Passport services
For
shipping info call Overnight Passport at:
401-241-7177
Please
have a FedEX Airbill in front of you so we can give you the shipping address
of the courier who will be handling your order, instruct you which boxes
to check off on the Airbill and take down the FedEX tracking number off
of the Airbill. |
