CAMOUFLAGE PASSPORTS ORDER FORM Country you choose (please circle one): British Honduras, Dutch Guiana, British Hong Kong, British West Indies, Netherlands East Indies, New Hebrides, Eastern Samoa, Burma, Rhodesia, New Granada, Zanzibar, Spanish Guinea, British Guiana, South Vietnam, USSR ------------------------------------------------------------------- TO ORDER: Just print this application or use a separate piece of paper and give us the following info: PLEASE FOLLOW THE INSTRUCTION TO THE "T" to avoid delay in processing. Please give us an email address (preferred) or fax number so that we may contact you if any problems develop processing your order. 1. Country you choose : British Honduras, Dutch Guiana, British Hong Kong, British West Indies, Netherlands East Indies, New Hebrides, Eastern Samoa, Burma, Rhodesia, New Granada, Zanzibar, Spanish Guinea, British Guiana, South Vietnam, USSR (circle or underline) 2. First Name: ____________________________________________________ Middle Name (optional): ___________________________________________ Last Name (surname): ______________________________________________ 3. Date of Birth in this order: Day, Month, Year (Write out like 10,June,1948): ___________________________________________________________________ 4. Sex: _________ 5.Height in feet, inches or meters ________ 6.Weight in pounds or KGs. ___________ 7. Eye color ________ 8. Give us a residence address in the country you choose or we will make up an address in the country of the camouflage passport for you. We do not recommend a USA address. (Make up check here ____) Residence address in country of your choice_______________ ____________________________________________________ ____________________________________________________ 9. YOUR COMPLETE SHIPPING INFO: Name, Address, City, State, Country and Postal Code. Do not use a P.O. Box address for we need to send via courier and they won't accept a P.O. B. address. We would also like to have your fax number or email address should we need to contact you about your order. WE MUST HAVE YOUR TEL. NUMBER FOR THE COURIER COMPANY AS A DELIVERY REQUIREMENT. Complete address:_____________________________________________ ____________________________________________________ ____________________________________________________ E-mail address_____________________________________________ EXTREMELY IMPORTANT: WE MUST HAVE A TELEPHONE NUMBER FOR THE COURIER COMPANY. NO ORDERS WILL BE PROCESSED IF YOU DON'T PROVIDE A TELEPHONE NUMBER ___________________________________ 10. WE NEED YOUR SIGNATURE so it can be placed on the camouflage DL to make the document look genuine. Therefore scan your SIGNATURE in ***HEAVY*** black ink on a ***white*** piece of paper, again in 300 dpi and in jpeg format OR SIGN BELOW IN HEAVY BLACK INK and we will convert to Jpeg. Signature : Signature: 11. PHOTO(s) requirement: Our camouflage pp producer will NOT produce poor quality material so to avoid rejection please use these guidelines for your photos: Invest $10 and have professionally taken passport pictures done, i.e. in color, facing straight ahead looking into the camera, showing their shoulders, with a white background in 300 dpi (dots per inch) scanned and emailed in jpeg format. If you are sending your order by post include these professional type pictures and we will scan them with the correct format and dpi requirements. 12. IMPORTANT: Include 3 passport size professionally taken photos in color Your camouflage passport package will include the passport, two separate ID cards and a camouflage drivers license from your chosen country. -------------------------------------------------------------------- PAYMENT DETAILS: There are two prices. One if your order is NOT shipped to the USA and another price if it IS shipped to the USA. The higher price to the USA reflects a rerouting charge via a MD for safe delivery. Thank, John Ascroft and the Patriot Act for the higher charge. Here are the prices for the Camouflage Passport Package: * For shipment to anywhere but the USA: US $695 inclusive of all delivery charges. * For shipment to the USA: $765 inclusive of all delivery charges. PAYMENT METHODS: * PayPal account: office@expathosting.com * E-GOLD - Our account #: 108817. Follow this link to pay by e-gold: * EMAIL, FAX, MAIL - use this form I enclose cash/cheque for US $ ...... made payable to "Expat World". ------------------------------------------------------------------- Please send your order via REGISTERED AIRMAIL or COURIER SERVICE. Print and/or send to: Expat World Attn: Max Bushby PO Box 1341 Raffles City, Singapore 911745 Email: office@expatworld.net For courier delivery ONLY use: Expat World, 8 Jalan Istimewa, Singapore 278392 ------------------------------------------------------------------- * NOTE: Email us before you send us this order form. This will enable us to respond to your order quickly. Thank you for your order. The Expat World Team [doc_camofrm_2.9]