Fees Receipt (IMM 5401)

If you are unable to or do not wish to use this order form, you may also order by contacting our Call Centre at 1-888-242-2100.

Orders can only be sent to addresses in Canada.

Production and delivery will take approximately 2 weeks.

Organizations requiring larger quantities or regular shipments may wish to email an order to KIT-TROUSSE-REQ@cic.gc.ca

Order Information

Name:

First Name:

Last Name:

Company/Organization:
(if applicable)

Address:

Street Number and Name:

Post Office Box/Rural Route:
(if applicable)

Apartment/Suite number:
(if applicable)

City/Town:

Province/Territory:

Postal Code:

Number Required:
Please do not order more applications than you will actually need.


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