1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 Email: AHI@PinnacleTDS.com Visa requirements shown below are for U.S. CITIZENS ONLY. Nationals of all other countries please contact Pinnacle TDS directly for specific requirements associated with your itinerary. Romance of the Mekong River October 2-17, 2018 Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Expedite Fee Per Person Vietnam 1 1 Cambodia 1 1 $382.00 $732.00 August 23, 2018 (or 40 days prior $110.00 to your departure) Please be careful when filling out your forms. Visas for Vietnam are issued for specific date of entry based on the information on your visa application. If you are entering Vietnam more than one time you MUST apply for a multiple entry visa. Application and fees quoted are for single entry only. 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) via FedEx within the continental U.S. (Please add $32.00 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 each for Vietnam and Cambodia. Please also enclose two (2) clear photocopies of the vital information page of your passport and a copy of your paid flight and/or tour itinerary. 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 four (4) blank unused pages available, not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with the 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 40 days prior to your departure from your shipping address, or by August 23, 2018, whichever is soonest. (Please do not send your documents more than 90 days prior to departure due to the short validity of your visas.) 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 or credit card payment accepted. Credit card payment subject to 3.8% 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 be certain your passport is signed and keep a copy for your records.) Two (2) photocopies of the vital information page of your passport This completed form One (1) completed visa application form per person for Vietnam One (1) completed visa application form per person for Cambodia One (1) copy of your paid flight and/or tour itinerary Two (2) passport-type photographs per person (Please leave loose, PTDS will affix) 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: Email: Date of Departure from Home: / / (FedEx cannot deliver to PO boxes) Month Day Year Address Tour Name: Romance of the Mekong River For the Date of Tour: 10 / 02 / 18 Month Day Year Return of Date of Entry to Vietnam: Passport: Special Instructions: 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: A M E X / VISA / MC (please circle one) Cardholder Name: Billing Address: Billing Zip Code: Card #: C I D # _ Expires: / _ Amount: US$ Signature: Mo Yr FOR OFFICE USE ONLY AHI RTMR 1002-18 (VIET105/CAMBX75)85 FX32 382/732 4PGS VAL 6 MTHS 3.8% DL 08/23/18 110.00 TE CAMB 10 JULY 2018 ENTER CAMB 10 OCT 2018 TE VIETNAM 90 DAYS ENTER VIETNAM (SEE ABOVE) 2018 Pinnacle Travel Document Systems
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 email updates regarding the progress of your documents. Please locate and click on the name or number of your specific program at the link below to complete your order. www.pinnacletds.com/ahi IMPORTANT NOTICE - PASSPORT PAGES & VALIDITY: You must have at least four (4) 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 $276.00 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 WWW.Traveldocs.com/PTDSPassports You may also contact us at Ahi@PinnacleTDS.com or 888-838-4867 and we will send you an instruction kit.
ROYAL EMBASSY OF CAMBODIA IN : Washington D.C. Surname: DOE KINGDOM OF CAMBODIA Nation Religion King ~ ~ VISA APPLICATION FORM Please submit 1 copy with 1 photo and your passport Present occupation: Engineer First name: Jonathan Bonham Place of residence: 1234 Main Street Anywhere CA 98765 Sex: Male Female Fax: /Phone: Date of birth: Day....Month Year... 13 MAR 1961 Place of birth: Los Angeles CA USA 987-654-3210 No Fax Birth nationality: USA Work Place: ABC International, Inc. Present nationality: USA Passport of traveling document is valid for (country) Purpose of visit Diplomatic ALL COUNTRIES Date of entry to Cambodia: Day..Month 10 Year2018. 10 Tourist Official Date of departure (length of stay) Business Others (Please Specify) 17/10/18 8 DAYS Point of entry: Address during the visit: SOFITEL ANGKOR PROKEETHRA Passport No: Place of issue: Date of issue: Date of Expiration: KOAM SAMNOR SHIP Children under 12 years traveling with you 0123456789 National Passport Center 10 MAY 2010 09 MAY 2020 NONE Surname Point of exit: SIEM REAP Organization, Persons to be visited : First trip to Cambodia Traveling on group tour First name Sex Patronymic M F AIR Yes No Yes No LEAVE PHOTO LOOSE PTDS WILL AFFIX. INDOCHINA PARTNER TRAVEL Date of birth Photograph 4 x 6 Permanent Address Relatives in the Kingdom of Cambodia NONE For official use éf pþl;... Tidæakarelx elxsmkal; RbePT éf Ex qñam htßelxam nþittylbnþúkkic karkugs ul I hereby declare that the information on this form is true and correct Place, (Date)... (Signature of the applicant) PLEASE DO NOT FORGET TO DATE AND SIGN YOUR VISA APPLICATION
Visa Approval/Reference Number (if any): EMBASSY OF VIETNAM 1233 20 th Street, NW, Suite 400 Washington, D.C. 20036 Tel: (202) 861-0737 & (202) 861-2293 Fax: (202) 861-0917 http://www.vietnamembassy.us VISA APPLICATION (FOR NON-VIETNAMESE PASSPORT HOLDERS) 01 Photo (2 inches x 2 inches) Glued photo here 01 additional photo stapled to this form for a loose -leaf visa request 1. Name (in block letters):.... DOE JOHNATHAN BONHAM Family name First name Middle name 2. Date of birth:.../.../. 13 03 1961 10. Name, address of your contact ct (sponsor, so host, hotel ) in Vietnam (iff any) 3. Male: Female... INDOCHINA PARTNER. TRAVEL... 4. Place of birth:... LOS ANGELES, CA. USA... NO 2A ST. 228 SANGKAT. CHAKTOMUK... 5. Nationality at birth:... USA KHAN DAUN PENH.. Nationality at present:... USA PHNOM PENH, CAMBODIA... 6. Passport number:... 987654321 855 23 214 425 214 426.. Date of issue:... 09/09/2015............ Date of expiry:... 08/09/2025......... 11. Proposed date of entry: 7. Profession:... ENGINEER... PER.../.../... YOUR. ITIN... Place of employment:... ABC ENGINEERING.. Date / Month / Year... 1234 MAIN STREET, ANYWHERE,... CA. USA... Proposed date of exit:.... 10 / /... 10 2018 Telephone (Office):...... 999-888-7777...... 8. Present mailing address: dress: (P.O Box xnot 12. Requesting a visa good for: Acceptedcepted ed for USPS express mail) Times of entries:. 4321. MAIN STREET - Single (one time) visit ANYWHERE, CALIFORNIA 98765 - Multiple visits Length of stay: *Email:. JDOE@ANYWHERE.COM - One month * Telephone :... 888-777-9999. - 03 months 9. Purpose of visit to Vietnam: - Less than 6 Months (with an approval only) TOURISM -Uptooneyear (with an approval only) I solemnly declare that the statements made in this application are true and correct. Date: Signature of Applicant... PLEASE DO NOT FORGET TO DATE AND SIGN YOUR APPLICATION Check list: Before submitting, make sure you have included: Original Passport (for a visa sticker request); or Passport copy (front photo page, for a loose-leaf visa request) Completed and signed Application with One Photo glued or stapled; Visa Fee: Money Order (or Cashier s Check); and Prepaid USPS Express Mail or FedEx Slip, (if you want your visa be returned by mail). * Required for further contact
KINGDOM OF CAMBODIA Nation Religion King ~ ~ VISA APPLICATION FORM Photograph 4 x 6 ROYAL EMBASSY OF CAMBODIA IN : Washington D.C. Please submit 1 copy with 1 photo and your passport Surname: Present occupation: First name: Sex: Male Female Date of birth: Day....Month Year... Place of birth: Birth nationality: Present nationality: Passport of traveling document is valid for (country) Date of entry to Cambodia: Day..Month Year. 10 10 2018 Date of departure (length of stay) 17/10/18 8 DAYS Point of entry: Address during the visit: SOFITEL ANGKOR PROKEETHRA Passport No: Place of issue: Date of issue: Date of Expiration: KOAM SAMNOR SHIP Children under 12 years traveling with you NONE Surname Place of residence: Fax: /Phone: Work Place: Purpose of visit Tourist Business Point of exit: SIEM REAP Organization, Persons to be visited : First trip to Cambodia Traveling on group tour First name Sex Patronymic M F Diplomatic Official Others (Please Specify) AIR INDOCHINA PARTNER TRAVEL Yes No Yes No Date of birth Permanent Address Relatives in the Kingdom of Cambodia For official use éf pþl;... Tidæakarelx elxsmkal; RbePT éf Ex qñam htßelxam nþittylbnþúkkic karkugs ul I hereby declare that the information on this form is true and correct Place, (Date)... (Signature of the applicant) AHI
Visa Approval/Reference Number (if any): EMBASSY OF VIETNAM 1233 20 th Street, NW, Suite 400 Washington, D.C. 20036 Tel: (202) 861-0737 & (202) 861-2293 Fax: (202) 861-0917 http://www.vietnamembassy.us VISA APPLICATION (FOR NON-VIETNAMESE PASSPORT HOLDERS) 01 Photo (2 inches x 2 inches) Glued photo here 01 additional photo stapled to this form for a loose -leaf visa request 1. Name (in block letters):.... Family name First name Middle name 2. Date of birth:.../.../. 3. Male: Female 4. Place of birth:... 5. Nationality at birth:... Nationality at present:... 6. Passport number:... Date of issue:............ Date of expiry:............ 7. Profession:... Place of employment:............. Telephone (Office):......... 8. Present mailing address: (P.O Box Not Accepted for USPS express mail). *Email:. * Telephone :... 10. Name, address of your contact (sponsor, host, hotel ) in Vietnam (if any)... INDOCHINA PARTNER TRAVEL... NO 2A ST 228 SANGKAT CHAKTOMUK KHAN DAUN PENH PHNOM PENH CAMBODIA 855 23 214 425 214 426... 11. Proposed date of entry:..../.../...... Proposed date of exit:... 10 / /... 10 2018 12. Requesting a visa good for: Times of entries: - Single (one time) visit - Multiple visits Length of stay: - One month - 03 months - Less than 6 Months (with an approval only) -Uptooneyear (with an approval only) 9. Purpose of visit to Vietnam: TOURISM I solemnly declare that the statements made in this application are true and correct. Date: Signature of Applicant... Check list: Before submitting, make sure you have included: Original Passport (for a visa sticker request); or Passport copy (front photo page, for a loose-leaf visa request) Completed and signed Application with One Photo glued or stapled; Visa Fee: Money Order (or Cashier s Check); and Prepaid USPS Express Mail or FedEx Slip, (if you want your visa be returned by mail). * Required for further contact AHI