Tanzania & Zanzibar Adventure

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1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 Email: TRAVCOA@TravelDocs.com Visa requirements shown below are for U.S. CITIZENS ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements associated with your itinerary. Tanzania & Zanzibar Adventure Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Expedite Fee Per Person Tanzania 1 2 $204.00 $379.00 30 days prior to your departure $130.00 Cost per person beyond the first two is $175.00 Please use the 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 return your passport(s) to you via FedEx within the continental U.S. (Please add $29.00 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 two (2) photographs and one (1) completed visa application form for Tanzania. Please also enclose two (2) clear photocopies of the vital information page of your passport. Photographs should be recently shot passport-type 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 international travel and must have at least three (3) 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 or to add pages to 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 are subject to change without notice. Check and credit card payment accepted. Credit card payment subject to 3.5% surcharge.

PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750 Washington DC 20006 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 Tanzania Two (2) passport-type photographs per person Credit or debit card authorization below PLEASE TYPE OR 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) Email: Date of Departure from Home: / / Month Day Year Address Tour: Tanzania- Independent Journey For the Date of Tour: / / 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: Card #: CID# Expires: / Amount: US$ Mo Yr TRAVCOA TZA IJ 2014 (Tanzania105)70 204/379 FX29 3PGS VAL6MOS DL30DYS 130.00 3.5% 2014 Pinnacle Travel Document Systems

IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY: You must have at least three (3) 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 need to renew or add pages to your passport Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for these services (including U.S. government expediting fees) are $222.00 for passport pages and $250.00 for passport renewals. 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 Pages Passport Renewals First Time Passports Second Passports WWW.Traveldocs.com/PTDSPassports You may also contact us via email or phone at TRAVCOA@TravelDocs.com or 888-838-4867 and we will send you an instruction kit.

FOR OFFICIAL USE ONLY GRR NO. VISA NO. Ref. NO. THE EMBASSY OF THE UNITED REPUBLIC OF TANZANIA. 2139 R Street, NW Washington, DC, 20008. Tel. (202) 939.6125 and (202) 884.1080 Fax (202) 797.7408. VISA APPLICATION FORM. (Visa Regulations on the next page). 2 Passport Size Photograph Size: 2x2 Do not paste or staple PLEASE PAPERCLIP 1. Surname or Family Name (Mr./Mrs./Miss/Ms/Dr./Prof.) DOE First Names in Full Jonathan Bonham Former or Maiden Name (if different from above) MARRIED FEMALES ONLY 2. Date of Birth (DD/MM/YY) Sex 13/03/1961 (M/F) M 3. Place of Birth Country Los Angeles CA of Birth Current Nationality (State if Dual Nationality) Nationality at Birth 4. Marital Status (Mark): Single Married Divorced Widowed Legally Separated. 5. Passport No Date 0123456789 Issued Valid 10 MAY 05 Until 09MAY15 Issued At Issuing USDS Authority US DEPT OF STATE 6. Profession/Occupation Engineer Employer Address: 4321 Main Street Anywhere CA 98765 7. Current Address 1234 Main Street Anywhere CA 98765 Tel. Fax E-mail 987-654-3210 NONE JDoe@anywhere.net 8. Name of Travel Agent/Tour Operator TRAVCOA 9. Contact Person(s) in Tanzania Caroline Burke Address Sasakwa Lodge & Singita Mara River Tented Camps Serengeti, Tanzania 10. Date of Entry Depature PER YOUR ITINERARY Date PER YOUR ITINERARY Duration of Stay PER YOUR ITINERARY (Max. 90 Days) Type of Visa Requested Travel Visa Transit Visa 11. Purpose of visit. 12. Requested Number of Entries: Single Double Multiple. 13. In Case Of Transit: Do you have an Entry Permit for the Final Country of Destination? No Yes Valid Until: 14. Budget Available For Your Stay PREPAID TOUR WITH TRAVCOA 15. I Hereby Declare That The Information Stated Above Is True And Correct : PLEASE DO NOT FORGET TO SIGN & DATE YOUR APPLICATION Signature of Applicant Date LEAVE BLANK - NOT APPLICABLE TRAVCOA IJ

TRAVCOA Caroline Burke Sasakawa Lodge & Singita Mara River Tented Camps Serengeti, Tanzania PRE PAID TOUR WITH TRAVCOA TRAVCOA ij