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Request IMMEX USA Overseas Buyers Assistance

Requestor Information
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* First Name : 
* Last Name : 
* Phone #  : 
* Email Address  : 
USA Account # (If available)  : 
* Address One : 
Address Two : 
Address Three : 
* City : 
State and Zip Code : 
* Country : 
* Preferred Delivery Method : 
* Preferred Payment Method : 

  OBS Purchase Request # 1    COMPULSORY
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Enter Quantity : 
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Enter Additional Details such as color, size, etc : 
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  OBS Purchase Request # 2    OPTIONAL
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  OBS Purchase Request # 3    OPTIONAL
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  OBS Purchase Request # 4    OPTIONAL
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  OBS Purchase Request # 5    OPTIONAL
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  OBS Purchase Request # 6    OPTIONAL
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Enter Additional Details such as color, size, etc : 

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 : 
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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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