USAGC GREEN CARD PAYMENT OPTIONS - Western Union
Western Union

You may pay by depositing local money in any Western Union branch giving the information described bellow. After you completed the payment please send this form to our fax (+357-253-44118).

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PLEASE WRITE VERY CLEARLY USING ONLY CAPITAL (BIG) LETTERS

First Name: Last Name:
Country: Phone(optional):
Email:
Confirm Email (Write email again):
Account Number(optional):

Recipient Information:(Information that you need to provide to the Western Union branch)
Name: Christiana Mandriotou
City: Limassol
Country: Republic of Cyprus (Southern)
Collection Currency: Cyprus Pounds *
* We will be able to collect money only in Cyprus Pounds. Please specify this to the Western Union branch.

Client Payment Information: (As in the receipt of Western Union)
Sender's First Name:
Sender's Last Name:
The 10 digits Number (MTCN number):  |_|_|_|_|_|_|_|_|_|_|
Country of payment:
Amount transferred:

Name of Sales person/Agent in USAGC (Optional):

To find a Western Union branch location near you use  Western Union's site under "FIND AGENT LOCATION".    http://www.westernunion.com/

PLEASE WRITE VERY CLEARLY USING ONLY CAPITAL (BIG) LETTERS

Mark with X: Select Service: Price:
Your application for 1 year €60
Your application for 2 years
(50% discount on 2nd year)
€80
You & Your Husband/Wife applications for 1 year
(Double Your winning Chances)
€94
You & Your Husband/Wife applications for 2 years
(70% discount on 2nd year + Double Your winning Chances)
€114
Your application for 4 years
(FREE year)
€138
You & Your Husband/Wife applications for 4 years
(FREE year + Double Your winning Chances)
€224
Your application for 10 years
(4 FREE years)
€344
You & Your Husband/Wife applications for 10 years
(4 FREE years + Double Your winning Chances)
€344
Your Unlimited Application VIP Benefits: €1,000 in legal expenses + personal job search assistance + personal accommodation search assistance in USA – all when you WIN* €444
Unlimited Family ApplicationVIP Benefits:€1,000 in legal expenses + personal job search assistance + personal accommodation search assistance in USA – all when you WIN* €634
Please note that all listed prices are including the extra €5 for process and handling.  

By signing below you accept and agree to USAGC Organization's " Terms and Conditions" as published on www.usagc.org website.

I READ, ACCEPT AND AGREE:
________________ ________________
SIGNATURE DATE

After completing all details fax this page to:
Fax: +357-253-44118
or
e-mail to: WesternUnion@usagc.org


PLEASE NOTE:

  • Please make sure you completed the payment before send this form.
  • Please note that all listed prices are including the extra €5 for process and handling. You have to send the listed amount and not add any amount. USAGC will not return any change or refund any payment after they are received.