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How to get your birth certificate from puerto rico

how to get your birth certificate from puerto rico

Certified Birth Certificate

Credit Card Number: Expires: Choose one:

Certificate Holder's Name at Birth (or adopted name):

Father's Name:

Mother's Full Maiden Name:

Birth Date: State of Birth

County of Birth: City of Birth.

Adopted or Legal Name Change

If adopted use adopted name and adopted parents' names, Pre-adopted certificates are unavailable

Ship Method: Express Courier Date of Departure:

Ship-To Name

Ship-To Address (no P.O. Boxes)

City: State: Zip:

Daytime Telephone: ( ) - - - Extension

Alternative Telephone Number:( ) - -


Signature:__________________________________________________ Date:

I authorize Texas Tower to obtain my birth certificate for me.

I understand

that Texas Tower is not responsible for any service performed by any overnight courier service.

All Sales Final

** By signing this form I agree that there are no refunds by Texas Tower.

Please fax a copy of your driver's license (if available--for minors please fax a copy of the parents' license )

Please insert any special instructions below (if your shipping address is a business address, please insert this

address below).

If you will not be at your shipping address to sign for the overnight courier package when it arrives

then you will need to leave a signed letter on your door requesting that the package be left wherever

Category: Insurance

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