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Concierge Service, $225.00 Application Completed in 3 Business Days 7 Rush Concierge Service, S325.00 Application Completed in 1 Business Day CW American Express:III. Exp. Date: _ / Name as it appears _ on the Security card: IIIIII Code: Hui IIIII Total Fees from Applicable Fees Page FEE # Travele

e. Damage compensation is not available. • By submitting this form, I agree to G3 Global Services' Terms of Use, Privacy. Cancellation. Payment. and Shipping Policies. For rrnre information follow this link: REV 3/19 - PAGE 2 EFTA00310402 &,` RUSSIA Concierge Service (Required) IF 0 Concierge Service Appl

. Payment Information 0 Payment Via Check #: 0 Payment Via Credit Card VisaMasterCard: 0000-0000 00110-0000 Exp. Date: / Secunty Code 000 OR American Express: 0000-000000-00000 Exp. Date: / Security Code: 0000 Name as it appears on the card: pfd WI, hi OS &ow: Seruces Billing Address: City State

e. Damage compensation is not available. • By submitting this form, I agree to G3 Global Services' Terms of Use. Privacy, Cancellation. Payment, and Shipping Policies. For more information follow this link: EFTA00310391 RUSSIA &I Concierge Service Application Comp Within 3 Business Days Concierge Service (R

y. ent Information a 0 Payment Via Check #: 0 Payment Via Credit Card VintMasterCard: 0000-0000 0000-0000 Exp. Date: / Security Code 000 OR American Express: 0000-000000-00000 Exp. Date: / Security Code: 0000 Name as h appears on the card: Check payable to G3 Global Services Billing Address: City:

e. Damage compensation is not available. • By submitting this form, I agree to G3 Global Services' Terms of Use. Privacy, Cancellation, Payment, and Shipping Policies. For more information follow this link: EFTA00310380 RUSSIA 0 Concierge Service Application Comp . Within 3 Business Days Concierge Service

7 Payment Via Credit Card VlsalMasterCard:OOOO-0000 Exp. Date: / Security Code 0LE H800 0000 -0000 DO-Ei3 ELI Concierge Service Requeste OR American Express: Eli 6 Exp. Date: 06 / 21 Security Code: Total Fees from Concierge Fee US Government Fee G3 Service Fee Passport Protection Plan Applicable

ce. Damage compensation is not avaiable. • By submitting this form, I agree to G3 Global Services' Terms of Use, Privacy, Cancellation. Payment, and Shipping Policies. For more information follow this link: www.aSvisas.convPolicies.html. a EFTA00309014 Send to: G3 Global Services Attn: Passport Department 11