A carnet can be issued and delivered to an applicant within 1 day, if the application is complete and approved by 4 p.m. Central time. Same day service is available for an additional charge. Obtaining a carnet takes 4, simple steps: 1  Gather information listed on the application checklist.2  Register for an online account. U.S. or foreign customs official always has the right to limit the validity period on a carnet upon inspection although to do so is highly unusual. The carnet can be used multiple times and in multiple countries during the period of validity.
1 Guillain-BarrÃ© syndrome, a rare nerve disorder that causes weakness in the legs, arms, and other muscles and that can progress to complete paralysis.  Myasthenia gravis, a rare, chronic disorder that causes weakness and rapid muscle fatigue.
1. any sudden insufficiency of oxygen supply to the heart that results in heart muscle damage; myocardial infarction. 2. any sudden disruption of heart function. heart attack. A sudden interruption in the normal functioning of the heart that is often accompanied by severe pain. Heart attacks are usually caused by an insufficient supply of blood to part of the heart muscle resulting from blockage of a coronary artery.