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Letter of Authorization

Attention:
United States Passport Office


Dear Sir/Madam:


I, _________________________________, hereby authorize EXPRESS PHOTO & MAIL/PASSPORT DEPOT to submit my passport (or my

child___________________________) application and collect it when issued.

The following visa(s) are required prior to my departure:

____________________________________________________________________________________________________________________


Thank you for your prompt attention to my application.



 

Sincerely,

______________________________________________
Original Signature of Applicant

______________________________________________
Today's Date

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PASSPORT DEPOT
Toll Free: 800-689-1388 / Toll Free Fax: 800-687-1388
Phone: 415-437-1388

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