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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
ver been a member of the military? ID No K Yes (complete details below) Service (i.e. US Navy): Highest Rank Obtained: Specialization: Dates of Active Service. Day Mbar-- / to Day Mona) Year O No O Yes (complete details below) Date of Conflict: / / YOUR EDUCATION: Provide the details of the high
. 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
ver been a member of the military? Service (i.e. US Navy): Highest Rank Obtained: Specialization: 0 No K Yes (complete details below) Dates of Active Service: to -Br - Moor - - Y7sar - Fear Did you participate in combat? Name of Conflict: Location of Conflict: O No O Yes (complete details below)
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:
ever been a member of the military? Service (i.e. US Navy): Highest Rank Obtained: Specialization: 0 No K Yes (complete details below) Dates of Active Service: to -- MootTer— — Y7sar - Dry- — Fear Did you participate in combat? Name of Conflict: Location of Conflict: O No O Yes (complete details b
Entities connected to both American Express and Active Service

Puerto Rico
LOCATION
St. Petersburg
LOCATION
FedEx
ORGANIZATION
Joi Ito
PERSONConsulate
ORGANIZATIONTravel Agents, Government Agencies
ORGANIZATIONUpgraded Delivery Service
ORGANIZATIONFederal Express Priority
ORGANIZATIONLost Passport Support
ORGANIZATIONDelivery Next Business Day
ORGANIZATIONShipping Policies
ORGANIZATIONCommercial Airline
ORGANIZATIONSecond Hotel or Private
ORGANIZATIONLocation of Conflict
ORGANIZATIONPrevious Educational Institution
ORGANIZATIONWASHINGTON USA
LOCATIONEmbassies
LOCATION
US Navy
ORGANIZATIONRussian Visa Application
ORGANIZATIONU.S. Visa
ORGANIZATION