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Immex USA
USA Shipping Account Application Form

Required Forms:
  1. IMMEX  USA Application Form
  2. Signed USPS Form 3652 (IMMEX will fill this form out for you)
  3. Photocopy of Government ID for Verification and Authentication Purposes

Requestor Information
* Required Fields
* First Name : 
* Last Name : 
* Phone #  : 
* Email Address  : 
Company Name  : 
* Address One : 
Address Two : 
Address Three : 
* City : 
State and Zip Code : 
* Country : 
* Preferred Delivery Method : 
Initial Shipping Account Deposit : 
I hereby authorize Immediate Couriers LLC to claim shipments from American Merchants directed by me to the Immediate Courier’s USA Office for delivery into the United Arab Emirates.
Date of Order : 

* Validation Code : 
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Immediate Courier Express
T: +9714 267 5557
F: +9714 267 5553
E: info@immediatecourier.com

Customer Services

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Immediate Courier Express LLC
Al Qusais Industrial Area #1,
Doha St., Opposite Zulekha Hospital,
Next to LG Services Center,
Dubai, UAE.
Phone#: +9714 26 75557
Fax#:   +9714 26 75553
Email: sales@immediatecourier.com
Website: www.immediatecourier.com<

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+971 569941722
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