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Delver)' Delivery by 3PM $55.00 0 Same Day Deliver Delivery by FedEx or Commercial Airline Plum Call 0 FedEx International Deliver including Puerto Rico Delivery Times Vary by Location Please Call CI FedEx or UPS Account Number Provided 0 FedEx or UPS Return Abel Included $5.00 No Charge "These
Date of Issue:__ / / Day Manta Year Date of Expiry:__ / _ _ / Day Month Year Issuing Authority: 0 US Department of State D Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No °Yes. insurance company name:_____ _ _ _ Name of Health Insurance Company in US: YOU
Delivery by FedEx or Commercial Airline $45.00 Please Call 0 FedEx Saturday Delivery* Delivery by 3PM 0 FedEx International Delivery including Puerto Rico Delivery Times Vary by Location $55.00 Please Call I:l FedEx or UPS Account Number Provided 0 FedEx or UPS Return Airbill Included $5.00 No Ch
of Issue:____ / _ / Date of Expiry: / _ _ / _ _ Day Manta Year Day Month Yew Issuing Authority: 0 US Department of State 0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ Name of Health Insurance Company in US: YOUR ST
ery* Delivery by 3PM $55.00 0 Same Day Delivery' Delivery by FedEx or Commercial Airline Please Call 0 FedEx International Delivery inducting Puerto Rico Delivery limes Vary by Location Please Call 0 FedEx or UPS Account Number Provided 0 FedEx or UPS Return Airnill Included $5.00 No Charge *The
f Issue:____ / _ / Date of Expiry: / _ _ / _ _ Day Month Year Day Month Year Issuing Authority: 0 US Department of State 0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ _ Name of Health Insurance Company in US: YOUR
ry' Delivery by 3PM $55.00 0 Same Day Delivery' Delivery by FedEx or Commercial Airline Please Call 0 FedEx International Delivery' Inclining Puerto Rico Delivery Times Vary by Location Please Call El FedEx or UPS Account Number Provided 0 FedEx or UPS Return Airbill Included $5.00 No Charge 'Th
f Issue:____ / _ / Date of Expiry: / _ _ / _ _ Day Month Year Day Month Year Issuing Authority: 0 US Department of State 0 Other: HEALTH AND TRAVEL INSURANCE: Have you purchased travel insurance for your trip? O No O Yes, insurance company name:___ _ _ _ Name of Health Insurance Company in US: YOUR
Entities connected to both Puerto Rico and HEALTH AND TRAVEL INSURANCE

American Express
ORGANIZATION
Joi Ito
PERSON
FedEx
ORGANIZATION
St. Petersburg
LOCATION
US Navy
ORGANIZATIONTravel Agents, Government Agencies
ORGANIZATIONFederal Express Priority
ORGANIZATIONUpgraded Delivery Service
ORGANIZATIONDelivery Next Business Day
ORGANIZATIONLost Passport Support
ORGANIZATIONShipping Policies
ORGANIZATIONConsulate
ORGANIZATIONCommercial Airline
ORGANIZATIONVisa Processing
ORGANIZATIONthe Russian Federal Migration Service
ORGANIZATIONU.S. Visa
ORGANIZATIONRussian Company Telephone
ORGANIZATIONRussian Company
ORGANIZATIONRussian Visa Application
ORGANIZATIONUS Department of State
ORGANIZATION