The Amputee e-card is $9.90 US Dollar (USD) payable by PayPay
Your Amputee e-card will be emailed to you within 5 working days of payment and required information
- * Your Passport Style Photo ( Jpeg / PNG ) for your e-card should be sent separately
- with your First name and Surname to firstname.lastname@example.org
- ( including your photo and/or your passport number on your e-card is optional )
*Required Information for Amputee e-card, please complete the form below.
1: PayPal payment receipt number.
2: First name and Surname.
3: Amputation type and level ( below knee / above knee )
4: Amputation - Right or Left leg.
5: (Optional ) 'Notification of amputation status' text in which additional Language, for travel abroad or your National language.
6: ( Optional ) Passport Number and Nationality .
7: ( Optional ) Passport Style Photo ( Jpeg / PNG ) send to email@example.com