925 Fifteenth Street NW 3 rd Floor Washington DC 20005 Tel: 888 838 4867 Email: AHI@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. Treasures of the Mekong March 1 19, 2012 With Hanoi Extension Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Late Fee Per Person Vietnam - Multiple 1 1 Cambodia 1 1 Laos 1 1 $430.00 $835.00 January 10, 2012 (Or 50 days prior $125.00 to your departure) Vietnamese visas are issued for specific date of entry based on your application so please complete your forms carefully. Due to the short validity of the Laos visa your passport will be returned to you no earlier than 30 days prior to the tour departure. 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 $25.00 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 three (3) photographs and one (1) completed visa application form each for Vietnam, Cambodia and Laos. Please also enclose a clear photocopy 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.) Your passport must be valid for a minimum of six (6) months beyond the completion of your international travel or September 19, 2012 and must have at least five (5) fully blank 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 50 days prior to your departure from your shipping address or by January 10, 2012 whichever is sooner. Documents received after the deadline will be subject to the per person late 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. Note that consular fees, shipping fees and application requirements quoted above are subject to change without notice.
PLEASE BE CERTAIN TO INCLUDE THE FOLLOWING: Your actual passport (Please keep a photocopy for your records.) This completed form One (1) photocopy of the vital information page of your current passport One (1) completed visa application form per person for Vietnam One (1) completed visa application form per person for Cambodia One (1) completed visa application form per person for Laos Three (3) passport-type photographs per person Credit 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 Name of Tour: Treasures of the Mekong For the Date of Tour: 03 / 04 / 2012 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 / M C (please circle one) Cardholder Name: Signature: Card #: Expires: _ / Amount: US$ Mo Yr AHI TOM 0304-12EXT (VIET-MULT130/CAMB30/LAOS50)65 430/835 FX25 5PGS VAL 09/19/12 DL 01/10/12 125.00 ENTRY VIET (SEE ABOVE) EXIT VIET 19 MARCH 2012 ENT LAOS 06 MARCH 2012 EXIT LAOS 08 MARCH 2012 ENT CAMB 08 MARCH 2012 EXIT CAMB 14 MARCH 2012 2012 Pinnacle Travel Document Systems
IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY: You must have at least five (5) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid until September 19, 2012. 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 $217.00 for passport pages and $245.00 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 Renewals www.traveldocs.com/passports/renewal.htm Passport Pages www.traveldocs.com/passports/amend.htm First Time Passports www.traveldocs.com/passports/new.htm You may also contact us via email or phone at AHI@TravelDocs.com or 888-838-4867 and we will send you an instruction kit.
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) PLEASE Glued photo STAPLE here 01 additional photo ONE PHOTO HERE stapled to this form for a loose -leaf visa request 1. Name (in block letters): DOE Jonathan Bonham.... Family name First name Middle name 13 03 1961 2. Date of birth:.../.../. 3. Male: Female 4. Place of birth:... Los Angeles CA USA 5. Nationality at birth:... USA Nationality at present:... USA 6. Passport number:... 0123456789 Date of issue:... 10 MAY 2005......... Date of expiry:... 09 MAY... 2015...... 7. Profession:... Engineer Place of employment:... ABC International... 4321 Main Street....... Anywhere CA 98765 Telephone (Office):...... 987-654-0123... 8. Present mailing address: (P.O Box Not Accepted). 1234 Main Street Anywhere CA 98765 10. Name, address of your contact (sponsor, host, hotel ) in Vietnam (if any)... DESTINATION ASIA... 143 NGUY EN VAN TROI ST PHU NHUAN DIST HO CHI MINH CITY, VIETNAM TEL: 84 83844 8071... 11. Proposed date of entry:... PER./.../... YOUR ITIN... Proposed date of exit:... 19 / /... 03 2012 12. Requesting a visa good for: Times of entries: - Single (one time) visit - Multiple visits Length of stay: - One month 987-654-3210 Telephone (Home):... 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... - 03 months - Less than 6 Months (with an approval only) - Up to one year (with an approval only) PLEASE DO NOT FORGET TO SIGN AND DATE 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). PLEASE COMPLETE CAREFULLY AS YOUR VISA WILL BE ISSUED BASED ON THIS INFORMATION AHI TOM 0304-12 EXT
Jonathan DOE 13 MAR 1961 Los Angeles CA USA USA Engineer 0123456789 US DEPT OF STATE 10 MAY 2005 09 MAY 2015 1234 Main Street Anywhere CA 98765 987-654-3210 NOT APPLICABLE TOURISM FOR US PASSPORT HOLDERS 06 MARCH 2012 AIR LUANG PRABANG 3 DAYS DESTINATION ASIA (856-21) 241 861 UNIT 6 NUMBER 94 UPALATHXIENGKHONG ST. BAN VISOUN, LUANG PRABANG USA
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: Engineer First name: DOE Sex: Male Female Date of birth: Day....Month Year... 13 MAR 1961 Place of birth: Los Angeles CA USA Birth nationality: USA Present nationality: USA Passport of traveling document is valid for (country) ALL COUNTRIES Date of entry to Cambodia: Day..Month Year. 08 MAR 2012 Date of departure (length of stay) 14 MARCH 2012 7 DAYS Point of entry: SIEM REAP Means of Transportation: Address during the visit: Passport No: Place of issue: Date of issue: Date of Expiration: Jonathan Bonham Children under 12 years traveling with you AIR SHIP RV MEKONG PANDAW & RAFFLES GRAND HOTEL SHIP RV MEKONG PANDAW & RAFFLES GRAND HOTEL 0123456789 National Passport Center 10 MAY 2005 09 MAY 2015 NONE Surname Place of residence: 1234 Main Street Anywhere CA 98765 Fax: /Phone: 987-654-3210 No Fax Work Place: Purpose of visit Tourist Business Point of exit: PHNOM PENH Means of Transportation: Organization, Persons to be visited : First trip to Cambodia Traveling on group tour ABC International, Inc. First name Sex Patronymic M F Diplomatic Official Others (Please Specify) BY SHIP - RV MEKONG PANDAW DESTINATION ASIA CAMBODIA Yes No Yes No Date of birth 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)
MULTIPLE ENTRY PLEASE 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) PLEASE Glued photo STAPLE here 01 additional photo ONE PHOTO HERE 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). 10. Name, address of your contact (sponsor, host, hotel ) in Vietnam (if any)... DESTINATION ASIA... 143 NGUY EN VAN TROI ST PHU NHUAN DIST HO CHI MINH CITY, VIETNAM TEL: 84 83844 8071... 11. Proposed date of entry:..../.../...... Proposed date of exit:... 19 / /... 03 2012 12. Requesting a visa good for: Times of entries: - Single (one time) visit - Multiple visits Length of stay: - One month Telephone (Home):... 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... - 03 months - Less than 6 Months (with an approval only) - Up to one year (with an approval only) 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). AHI TOM 0304-12 EXT
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. Date of departure (length of stay) Place of residence: Fax: /Phone: Work Place: Purpose of visit Tourist Business Diplomatic Official Others (Please Specify) Point of entry: Means of Transportation: Address during the visit: Passport No: Place of issue: Date of issue: Date of Expiration: Children under 12 years traveling with you Surname Point of exit: Means of Transportation: Organization, Persons to be visited : First trip to Cambodia Traveling on group tour First name Sex Patronymic M F 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)