1 US immigration Order Form

Print this Form:  Fill it out, Fax or mail it along with a check, money order or your credit card Information To:  

Immigration Kits     
 P.O. Box 293
Verdugo City, CA. 91046        
Yes, I am interested in receiving my very own copy of a “Do-it-Yourself Immigration Kit”

NOTE: If paying by check, credit card or money order, please circle the proper kit  and destination fee.
(Circle one of the immigration kits listed below and its proper destination) (U.S. or Canada or International)
Make Check or Money Order Payable to Daily Info Solutions

Shipping & Handling Charges Already Included
Original Price   U.S.  Canada    International
Student Visa (F-1) Kit  $59.95   $66.90  $71.90 $78.90
Marriage Visa Kit $79.95 $86.90 $91.90 $98.90
Travel / Visitor Visa (B-1)(B-2) Kit $64.95 $71.90 $76.90 $83.90
Labor Certification Kit $79.95 $86.90 $91.90 $98.90
Priority Worker Visa Kit $79.95 $86.90 $91.90 $98.90
Fiance Visa (K-1) Kit $74.95 $81.90 $86.90 $93.90
Canadian Visa (TN & TD Visa) Kit $74.95 $81.90 $86.90 $93.90
US Citizenship Kit $49.95 $56.90 $61.90 $68.90
Work Visa (H-1B) Kit   $74.95 $81.90 $86.90 $93.90

Shipping Information:        Fax Number:    (208) 979-5905                                                          

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FIRST NAME                                                               LAST NAME

CIRCLE CREDIT CARD TYPE: VISA MASTERCARD AMERICAN EXPRESS DISCOVER

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CREDIT CARD NUMBER                                               CREDIT CARD EXPIRATION DATE          
                                               
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MAILING ADDRESS

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CITY & STATE                                                            ZIP CODE

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TELEPHONE                                                                 FAX

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E-MAIL                                                                    

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QUANTITY                                                                  TOTAL DOLLAR AMOUNT

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COMMENTS
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