For your convenience, Autofill will keep all your input data for 24 hours if you must leave the form before completing. You must use the same browser in order to pick up the form where you left off!
Click on the Print Form button below and save a copy of this form for your records BEFORE you submit the form electronically. Note for faster service it is recommended that you select the pay by Credit Card via PayPal option.
If paying by Check or Money Order, Select Check or Money Order checkbox in the Method of Payment area to submit your completed courier request form to the IIC.
Send your Check or Money Order in the full amount of $100.00 to:
Note: NO certificate will be sent by courier before the receipt of full payment!