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Canada Class Action 2012: Register Your Case

The following is to be completed by persons whom wish to register their case for Canada immigration class action 2012.

STEP #1: Sign the Agreement and Fax It or Scan Email Back To Our Office

STEP #2: Complete the Following Form:

Name:
Email Address:
In order to receive a reply, kindly ensure that you have sufficient space in your e-mail account. In addition, for Hotmail and Yahoo users our reply may be filtered as "Junk Mail".
Nationality:
Current Place of Residence: (City,Country)
Daytime Telephone number preceded by the area code: (areacode , phone number)
Home, Office, or Mobile
Federal File Number:

Visa Office:


Make Your Payment:

Option A: Pay Through Visa or Master Card:

Payment Amount ($):
Reason for Payment:
Credit Card Type:
Name on Credit Card:
Credit Card Number:
Credit Card Expiry date: Month(mm)Year(yy)
CSC Number:
(Visa & Master card holders: it's the last three digits in the signature area on the back of your card. American Express card holders: it's the four digits printed on the front of your card just above and to the right of your main credit card number)
Comments:

Option B: Click on the following button if you wish to pay via Paypal

Option C: Other Payment Options, Click Here

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