Adjustment of Status Printable Order Form

Adjustment of Status Order Form

Please print the following form and return it by mail with your correct payment by check, or money order.  Checks should be made payable to: Heart of Asia. You may also send cash, however if you do so, please only send it by registered mail. Please mail to:

Heart of Asia 
Attn: Spousal Visa Services
3525 Del Mar Heights Road, #408
San Diego, CA 92130 USA.

Tel: 1-800-806-3210 ext 704, or 1-213-341-0808 ext 704 

Name:___________________________________________________________

Address:________________________________________________________

City:_________________________State/Prov:_______________________

Country:_________________________Zip Code:______________________

Phone:_______________________Fax:_______________________________

E-Mail Address:_________________________________________________


Prices in US $ 

Adjustment of Status   $495
Adjustment of Status   $195 per child



Item Tick to order Cost of items ordered 
Adjustment of Status
 
$495
 X . 
Dependent Adjustment of Status
 
$195
 . .
Total $ Enclosed . . . 



I understand and agree that Fred Wahl, SpousalVisaServices.com, Heart of Asia, and its employees is not an Attorney,
Immigration Law Firm, or employee of the I.N.S.  or USCIS.


Signature required:__________________________    Date:_____________

Payment Method

___ Money Order (US$ payable on US Bank) ___  Personal Check (US$ drawn on US Bank)

___ International Postal Money Order(US$ Payable on US Bank)  ___ Cash Currency US$ send via REGISTERED mail ONLY.


Heart of Asia International Penpal copyright@1996-2009

04/23/2009