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IMPORTANT: One order form can serve up to 4 visas with the same visa type and the same shipping address. If you have different visa types, different shipping addresses, or more than 4 visas, please place additional orders. If you choose 'other' shipping options, please provide details in the Special Request field.
All (*) fields are required.

Principal Applicant:

Last Name *

First Name *

Company Name

Street Address *

City *

State *

Zip Code *

Work Phone *

Ext And/Or

Home or Cellphone *

eMail Address

Passport Number *

Estimated Departure Date

Other Applicants:

Last Name	First Name	Passport Number	eMail	Phone

Citizenship:

American Other

Application Type: *		Visa Type:

Select Processing Time: *

Standard (4 Business Days) Express (24 Hours) Rush (6 Hours)

Consular & Service Fee Summary:

Consular Fee	Consular Express Fee	Agent Service Fee	Quantity	Sub Total

(* For 6 hours rush processing, we must receive your package before 10:00am and if we receive your visa package on Friday with overnight return shipping, you will most probably receive it on Monday.
For Hong Kong travel permit/Visa, authentication, china travel permit, passport extension, there are no express or rush service.)

Shipping Options: *

Please note all return shipment requires signature from the person who accepts the package. If you DO NOT want signature confirmation, please write in the special request below.
If you choose 'Company Account' you must provide courier's name and account number in the Special Request below.

Payment Options: *

We also accept Personal Checks, Money Order, Traveler's Checks, and Company Checks.

Shipping Address:

Same as principal applicant
I would like my passports to be returned to the following address:
Last Name
First Name
Street Address
City
State
Zip Code
Phone
eMail

Special Request:

(If you use your company's shipping account, please provide courier's name and account number above. Or you DO NOT want signature confirmation for return shipment, please write 'NO Signature Confirmation' here.)

Where did you hear about us?

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Mail
Friend Referral
Other (please specify)