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Order Form for Do-It-Yourself Canadian Immigration Kit
Fax Order Form Using Credit Card

Please complete and print out this form. Faxing instructions are below.

Do-It-Yourself Kit: Family Sponsorship - Dependent Children


    Price:    $   182.95 (CAN)
    Tax:    $     0.00 (CAN)
    Shipping & Handling Instruction:
       $  (CAN)
    Total:    $  (CAN)


    Please Enter your Shipping Information Here:

    First Name:
    Last Name:
    Address:
    City:
    Province/State:
    Postal/Zip Code:
    Country:
    Email:
    Home Phone:
    Work Phone:


    Please Enter Your Credit Card Information Below:

    Complete this section:
    Visa Master Card

    Card Number:
    Cardholder Name:
    Expiration Date (MM/YY):
    Bank or Company name of the
    issuer of your credit card:
    Bank or Company's phone number:
    Billing address of your credit card and phone number if different from shipping address:
    Your IP (Internet Protocol) address is being logged.
    We investigate and prosecute all credit card fraud.


    Other Information:

    IMPORTANT!
       A Do-It-Yourself Kit has specific information for each country so please tell us in which country you will submit your application in order for us to send you the specific information for the country's Canadian Embassy/Consulate Office/High Commission.

    Processing Country:


    Tell Us How You Referred to Us:

    What Web Site referred you to us?


    What Search Engine did you use to find us?


    What Search Phrase did you use?


    Please write any comments or suggestions here:

    Instructions to place your Order
    • Print this form.
    • Fax this print out form to (604) 214-0612.
    • Keep a copy for your reference.
    • Your order will be shipped within 24 hours of receipt.


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