1625 K Street NW Suite 750 Washington DC Tel:

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1 1625 K Street NW Suite 750 Washington DC Tel: TRAVCOA@PinnacleTDS.com Visa requirements shown below are for U.S. PASSPORT HOLDERS ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements for your itinerary. Jordan Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Expedite Fee Per Person Jordan 1 1 $ $ days prior to your departure $40.00 Cost per person beyond the first two is $ Please use enclosed sample information verbatim and substitute your personal information. Fees shown above include all necessary consular and service fees as well as the cost to ship your passport(s) back to you via FedEx within the continental U.S. (Please add $30.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service. Please enclose your actual passport along with one (1) photograph and one (1) completed visa application form for Jordan. Please also enclose two (2) clear photocopies of the vital information page of your passport. Photographs should be recently shot passport-type color photos with a clear background approximately 2 x 2 in dimension. (Note that machine or home photographs are not acceptable and photographs must be different than those in your current passport.) Your passport must be valid for a minimum of six (6) months beyond the completion of your and must have at least two (2) blank unused pages available not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with renewal of your U.S. passport, as this can easily be done at the same time you apply for your visas. Applications must be received in our offices no fewer than 30 days prior to your departure from your shipping address. Documents received after the deadline will be subject to the per person expediting fee shown above. Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted. Please note that consular fees, shipping fees and application requirements quoted are subject to change. Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.

2 PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750 Washington DC Your actual passport (Please keep a photocopy for your records.) This completed form Two (2) photocopies of the vital information page of your passport One (1) completed visa application form per person for Jordan One (1) passport-type color photograph per person Credit or debit card authorization below PLEASE PRINT CLEARLY Full Name (1): Full Name (2): Passport #: Exp: / Passport #: Exp: / Mo Yr Mo Yr Home Home Tel: Mailing Work Tel: Address: (FedEx cannot deliver to PO boxes) Date of Departure from Home: / / Month Day Year Address Tour Name: Custom Jordan For Date of Tour Departure: / / Month Day Year Return of Special Instructions: Passport: Tel: Please indicate below if there are known periods prior to your tour during which you will need your passport for another international trip or when you will not be available to sign for the return of your passport. I will need my passport(s) for other international travel from / / to / / Month Day Year Month Day Year I will not be at my home and/or return shipping address from / / to / / Month Day Year Month Day Year CREDIT CARD AUTHORIZATION: AMEX / VISA / MC (please circle one) Cardholder Name: Signature: Billing Zip Code: Card #: CID# Expires: / Amount: US$ Mo Yr TRAVCOA CUSTOM (Jordan102.50)75 FX /385 2PGS VAL6MOS DL30DYS % 2016 Pinnacle Travel Document Systems

3 ONLINE ORDER COMPLETION & AUTOMATED UPDATES: If you have not already done so please complete your order online. This will allow you to create an inbound FedEx shipping label to securely send your documents to us and pay all required fees online. This will also allow you to receive automated updates regarding the progress of your documents. Please locate and click on your voyage number at the link below to complete your order. IMPORTANT NOTICE - PASSPORT PAGES & VALIDITY: You must have at least two (2) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid for six (6) months beyond the completion of your international travel. If you are a U.S. citizen and do not have the adequate number of pages or validity you will need to renew your passport since the U. S. Passport Agency will no longer add pages. Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for this service (including U.S. government expediting fee) is $ for passport renewals and second passports. We can also assist you with expediting first time passport applications. You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site: Passport Renewals First Time Passports Second Passports You may also contact us at Travcoa@PinnacleTDS.com or and we will send you an instruction kit.

4 Embassy of the Hashemite Kingdom of Jordan 3504 International Dr. N.W. Washington, DC Attach Recent Photograph Here Visa Application (Form A) First Name: JOHNATHAN Middle Initial: B. Last Name: DOE Birth Date: MARCH 13, 1961 Passport No: Birth Place: LOS ANGELES, CA USA Place issued: DEPT OF STATE Citizenship: USA Date Issued: AUGUST 8, 2010 Original Nationality: USA Occupation: ENGINEER Address: 1234 MAIN STREET ANYWHERE, CA USA Phone No: (H) Phone No: (W) Purpose of Trip: TOURISM Port of entry: Expected date of Departure from The US: Expected date of arrival in Jordan: Requirements (Please submit the following):- 1) The Original passport which has to be valid for more than six months from the date we issue the visa And must have a blank page to be stamped with the visa. 2) The payment must be paid by money order only with your name, address and phone number, payable to the Embassy of Jordan: a) For single entry visa valid for Two months from date of issue: ($67.50) b) For Double entries visa valid for Three months from date of issue: ($97.50) c) For multiple entries visa valid for Six months from the date of issue: ($187.50) 3) For business trips, a letter from employer stating the purpose of trip. 4) For Diplomatic or Official visas (No Fee) a letter of request from your department. 5) Visa processing takes approximately up to (5) business days for U.S. Citizens. Enclose a self-addressed Express envelope with postage to return your Passport(s) you can use (Express or UPS) mail, please don t use (Fed-Ex) mail. No more than (2) passports per envelope. WE WILL NOT BE RESPONSBLE FOR ANY LOSS THAT MAY OCCUR DURING PROCESSING. Office Hours: From (10:00) a.m. to (2:00) p.m. Monday through Friday Note: Visa fees are not refundable U.S. re-entry permits are not acceptable for travel to Jordan Citizens of the United States, Mexico, South America, and the countries of Western Europe could be issued visas upon arrival at the airport in Amman-Jordan. I certify that all the statements given by me are truthful, and I am aware of all regulations stated above. Signature: Date: updated:

5 Embassy of the Hashemite Kingdom of Jordan 3504 International Dr. N.W. Washington, DC Attach Recent Photograph Here Visa Application (Form A) First Name: Middle Initial: Last Name: Birth Date: Passport No: Birth Place: Place issued: Citizenship: Date Issued: Original Nationality: Occupation: Address: Phone No: (H) Phone No: (W) Purpose of Trip: TOURISM Port of entry: Expected date of Departure from The US: Expected date of arrival in Jordan: Requirements (Please submit the following):- 1) The Original passport which has to be valid for more than six months from the date we issue the visa And must have a blank page to be stamped with the visa. 2) The payment must be paid by money order only with your name, address and phone number, payable to the Embassy of Jordan: a) For single entry visa valid for Two months from date of issue: ($67.50) b) For Double entries visa valid for Three months from date of issue: ($97.50) c) For multiple entries visa valid for Six months from the date of issue: ($187.50) 3) For business trips, a letter from employer stating the purpose of trip. 4) For Diplomatic or Official visas (No Fee) a letter of request from your department. 5) Visa processing takes approximately up to (5) business days for U.S. Citizens. Enclose a self-addressed Express envelope with postage to return your Passport(s) you can use (Express or UPS) mail, please don t use (Fed-Ex) mail. No more than (2) passports per envelope. WE WILL NOT BE RESPONSBLE FOR ANY LOSS THAT MAY OCCUR DURING PROCESSING. Office Hours: From (10:00) a.m. to (2:00) p.m. Monday through Friday Note: Visa fees are not refundable U.S. re-entry permits are not acceptable for travel to Jordan Citizens of the United States, Mexico, South America, and the countries of Western Europe could be issued visas upon arrival at the airport in Amman-Jordan. I certify that all the statements given by me are truthful, and I am aware of all regulations stated above. Signature: Date: updated: TRAVCOA IJ