JH91601 - Pinnacle TDS

JH91601 - Pinnacle TDS
1625 K Street NW Suite 750 Washington DC 20006
Tel: 888 838 4867 ♦ Email: LINDBLAD @PinnacleTDS.com
Visa requirements shown below are for U.S. & CANADIAN CITIZENS ONLY. Nationals of all other
countries please contact Pinnacle Travel Document Systems directly for specific requirements associated
with your itinerary.
Vietnam & Cambodia:
Along the Mekong River
January 5 – 18, 2016
JH91601
Visa(s)
Req’d
Vietnam
#
Forms
1
#
Photos
Cost
1 – Persons - 2
1
$320.00
Cambodia
1
1
$610.00
Application
Deadline
November 21, 2015
(or 45 days prior
to your departure)
Late Fee
Per Person
$160.00
Vietnamese visas are issued for specific date of entry based on your application so please complete your forms
carefully. 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 return your
passport(s) 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 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. Note that your Vietnam visa application must be
completed online at the link shown herein. 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 until July 18, 2016 for a minimum of six (6) months beyond the
completion of your international travel and must have at least four (4) 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 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 45 days prior to your departure from
your shipping address or by November 21, 2015, whichever is sooner. (Please do not send
your documents more than 90 days prior to your departure due to the validity of your visa.)
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.
Check or 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 current passport
♦ One (1) visa application form per person completed online for Vietnam
♦ One (1) completed visa application form per person for Cambodia
♦ Two (2) passport-type photographs per person
♦ Credit card authorization below
P LEASE PRINT CLEARLY
Full Name (1): _____________________________
Full Name (2): _____________________________
Passport #: ____________________ Exp: ___/___
Passport #: ____________________ Exp: ___/___
Home
________________________________
Home Tel: ________________________________
M ailing
________________________________
Work Tel: ________________________________
Address:
________________________________
Email: ____________________________________
________________________________
Date of Departure from Home: ____/____/_____
Mo
Yr
Mo
Month
( Fe dE x ca nno t d eli v er t o P O b ox e s )
Address
________________________________
Tour Name: Vietnam & Cambodia
For the
________________________________
Date of Tour:
01
Month
Day
Yr
Year
/ 05 / 2016
Day
Year
Return of ________________________________
Special Instructions: ______________________
Passport: ________________________________
________________________________________
Tel:
________________________________
_________________________________________
Pl e a se ind ic a t e b el ow if the r e a re k now n pe ri od s p rio r to yo u r to ur du rin g w hic h yo u w ill ne e d yo u r pa s sp or t
f o r an ot h er in t er na ti on al tr ip or w he n yo u w ill n o t b e a va il abl e to si gn for th e re tu rn of yo u r p a s spo r t.
I w ill n e ed m y p a s spo r t ( s) f o r o t he r i n te rn a ti on al tra ve l fr om
_____/____/_____ to _____/____/_____
I w ill no t b e at m y h om e an d/o r r et ur n shi ppi ng ad dre s s from
_____/____/_____ to _____/____/_____
Mo nt h
Mo nt h
Day
Year
Day
Year
Mo nt h
Mo nt h
Day
Day
Year
Year
CREDIT CARD AUTHORIZATION: A M E X / V I S A / M C (please circle one)
Cardholder Name: _ _ __ _ _ __ _ __ _ _ _ __ _ _ __ _ Si g nat u re: _ ___ _ _ _ __ _ _ __ _ _ __ _ _ __ _ Bil lin g Z ip Co d e: __ _ _ __ _ _ __ _ __
Card #: _ _ __ _ _ __ _ _ __ _ _ __ __ _ _ _ __ _ _ __ _ _ _ CI D# _ _ __ _ __ _ _ _ __ _ _
L INDBL AD J H9 1 60 1 (VIE T95 / C AM B4 5 ) 75 FX 3 0
TE CAM BO DI A
0 6 OCTO BE R 2 01 5
TE VIE TN AM 13 O CTO BE R 2 01 5
3 2 0/6 1 0
Expires: _ __ _/_ _ _
4PGS V AL 0 7/ 20/1 6
ENT C AM BO DI A 0 6 J ANU ARY 2 0 1 6
E NT VIE TN AM 1 3 J ANU ARY 2 0 1 6
 2 0 16 Pin na cl e Tr a v el Do cum en t S ys t e m s
Mo
Yr
Amount: US$ __ _ _ __ _ __
DL 1 1/ 2 1/ 15 16 0. 0 0 3. 5 %
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/Lindblad
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 $264.00 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 Lindblad@PinnacleTDS.com or
888-838-4867 and we will send you an instruction kit.
APPLICATION COMPLETION SERVICE
We will complete your online visa application(s) for
you as an optional service if you are not able to or
simply prefer not to go through the online process on
your own.
You must still provide all the necessary personal
information in order for us to be able to provide this
service. A hand written manual version of the visa
application(s) must be completed and returned to us
before you actually send in your passport and other
required documents for visa processing.
Once we have received your completed manual visa
application form(s) we will execute the online form on
your behalf and return it to you within 2 working days.
You will then need to sign this form and include it with
your passport, photographs and other documents
being sent to us for processing of your visa(s).
Please note that this service is separate from the
actual processing of your visa(s) and you must wait to
receive and then sign the completed online version of
the visa application form(s) from us before you
physically ship your documents to us for visa
processing.
The fee for this service is $75.00 per application, per
person payable via credit card at the time you send
the manual version of the application(s) to us and is in
addition to the visa processing fees quoted.
If you would like to take advantage of this service
please call us at 888-838-4867 or email us at
applications@pinnacletds.com to request a manual
version of the visa application form(s) be sent to you.
Online Visa Application Form for Vietnam
Please be careful to type the link exactly as shown below directly into your
web browser address window and NOT into your search engine, e.g.
Google or Yahoo otherwise you will not reach the application.
http://visa.mofa.gov.vn/_layouts/registration/ApplicationForm.aspx
Refer to the Data App Sample included herein for information regarding
dates and contacts for your sponsoring organization in Vietnam.
PLEASE COMPLETE YOUR APPLICATION CAREFULLY.
YOUR VISA WILL BE ISSUED BASED ON THE INFORMATION YOU
PROVIDE.
Please use all sample information verbatim and substitute your personal
information.
Please be aware that the above link can sometimes be unavailable or not
functioning properly. Please be patient and try again if you experience
difficulties with this process.
Vietnam Visa Application – Sample Data Input
Purpose of Entry:
Place of Visa Submission:
Place of Visa Collection:
Photo Option:
Family Name:
Middle Name:
First Name:
Tourism
Vietnam Embassy in the United States of America
Vietnam Embassy in the United States of America
Please DO NOT upload photo.
Doe
Bonham
Jonathan
Name as in Passport:
Jonathan Bonham Doe
Gender:
Male
Date of Birth (dd/mm/yyyy):
13/03/1961
Place of Birth:
USA
Nationality at Birth:
USA
Nationality at Present:
USA
Occupation:
Businessperson
Religion:
Christian
Workplace:
ABC International
Current Address:
1234 Main Street Anywhere, USA
Telephone Number:
987 654 3210
Email:
Jdoe@Anywhere.com
Passport & Visa Information
Passport Number:
9876543210
Passport Type:
Ordinary
Issued By:
USA
Date of Issue (ddmmyyyy):
02/19/2010
Date of Expiry:
02/18/2020
Proposed Entry Date (dd/mm/yyyy): 13/01/2016 (Complete carefully. Visa issued based on this
info. All dates in European format.)
1 Month
Visa Validity:
This date will automatically set when you input the entry date
Proposed Exit Date:
Single
Number of Entries:
On board ship - Jahan
Proposed Address in Vietnam:
Have you ever been to Vietnam:
No (If yes please give details of previous travel to Vietnam)
Person or Organization:
Please click on “Organization”
Name:
Trails of Indochina
Address:
Telephone:
10/8 Phan Dinh Giot St. Ward 2 Tan Binh District Ho Chi Minh City Vietnam
84 8 3844 1005
Emergency Contact Information: This information is not required. Submit at your discretion.
Please do not forget to sign and date your application and send it with all
other documents to:
Pinnacle Travel Document Systems
1625 K Street NW Suite 750
Washington DC, 20006
Please use sample information verbatim and substitute your personal
information.
MINISTRY OF FOREIGN AFFAIRS
SOCIALIST REPUBLIC OF VIET NAM
VISA APPLICATION FORM
http://www.lanhsuvietnam.gov.vn
(To be submitted at Vietnamese
Consular Authorities)
1. Full name: JOHNATHAN BONHAM DOE
Tên đầy đủ
2. Date of birth: 13/03/1961
Ngày sinh (DD/MM/YYYY)
3. Place of birth: USA
Nơi sinh
4. Gender:
8. Passport number: 987654321
Số hộ chiếu
Date of expiry: 01/03/2020
Ngày hết hạn hộ chiếu (DD/MM/YYYY)
Male
Giới tính
9. Number of entries:
Single
Số lần nhập cảnh
5. Nationality:
USA
10. Proposed date of entry: 13/01/2016
Ngày dự kiến nhập cảnh (DD/MM/YYYY)
Quốc tịch
6. Contact information:
Thông tin liên hệ
Address:1234 MAIN STREET
11. Proposed date of exit: DATE WILL AUTO SET
Ngày dự kiến xuất cảnh (DD/MM/YYYY)
12. Place of visa submission:
Địa chỉ
Nơi nộp hồ sơ
Telephone: 987 654 4321
Viet Nam Embassy in the United States of
America
Điện thoại
Email: JDOE@ANYWHERE.COM
7. Sponsor information:
Thông tin cơ quan/ cá nhân mời đón
Name:
ICS TRAVEL GROUP
Tên
Telephone:84 8 3846 8104
13. Place of visa collection:
Nơi nhận thị thực
Viet Nam Embassy in the United States of
America
14. Purpose of entry:
Tourism
Mục đích nhập cảnh
Điện thoại
Checklist: Before submitting, make sure you have included:
Application form (1 photo glued or stapled)
Passport
Visa Approval/Reference Number (if any)
(*) For Visa Fee and other requirements, please contact a Vietnamese
Consular Authority where you would like to collect your visa.
The statements made in this application are the best of
my knowledge and duly liable by the laws.
Tôi xin chịu trách nhiệm trước pháp luật những lời khai
trên.
Date/ Ngày:
Signature/ Ký:
30/03/2014
KINGDOM OF CAMBODIA
Nation Religion King
E ~ ~G
VISA APPLICATION FORM
PLEASE
STAPLE
ONE (1)
PHOTO
HERE
ROYAL EMBASSY OF CAMBODIA
IN : Washington D.C.
Photograph
4x6
Please submit 1 copy with 1 photo and your passport
Surname:
Present occupation:
DOE
First name: Jonathan Bonham
✔
Female Ŀ
Sex: Male Ŀ
MAR
1961
13
Date of birth: Day..…..Month………Year…......
Los Angeles CA USA
Place of birth: ……………………………………
Birth nationality: USA
Present nationality: USA
Passport of traveling document is valid for (country)
ALL COUNTRIES
PER
YOUR
ITIN
Date of entry to Cambodia: Day.….Month……Year…….
Date of departure (length of stay)
13 JANUARY 2016
Place of residence: 1234 Main Street
Anywhere CA 98765
Fax: /Phone:
987-654-3210 No Fax
Work Place: ABC International, Inc.
Ŀ Diplomatic
Ŀ Official
ĿOthers (Please Specify)
Purpose of visit
✔ Tourist
Ŀ
ĿBusiness
PER YOUR ITINERARY
Point of entry: Siem Reap
Means of Transportation:
Address during the visit:
Point of exit: Phnom Penh
Means of Transportation: SHIP
Organization, Persons
to be visited : TRAILS OF INDOCHINA
First trip to Cambodia
Ŀ✔ Yes
Air
La Residence d'Angkor Siem Riep & ON BOARD SHIP - JAHAN
Passport No: 0123456789
Place of issue: National Passport Center
Date of issue: 10 MAY 2010
Date of Expiration: 09 MAY 2020
Children under 12 years
traveling with you
NONE
Relatives in the
Kingdom of Cambodia
NONE
For official use
éf¶pþl; …………...........
Tidæakarelx ………………
elxsMKal;………………
RbePT …………………
éf¶ …… Ex …… qñaM ……
htßelxam®nþITTYlbnÞúkkic©karkugs‘ul
Ŀ No
Ŀ✔ Yes
Ŀ No
Traveling on group tour
Surname
LINDBLAD
Engineer
First name
Patronymic
Sex
M
F
Date of birth
Permanent
Address
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
KINGDOM OF CAMBODIA
Nation Religion King
E ~ ~G
VISA APPLICATION FORM
Photograph
4x6
ROYAL EMBASSY OF CAMBODIA
IN : Washington D.C.
Please submit 1 copy with 1 photo and your passport
Surname:
Present occupation:
First name:
Place of residence:
Sex: Male Ŀ Female Ŀ
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)
Fax: /Phone:
Work Place:
Ŀ Diplomatic
Ŀ Official
ĿOthers (Please Specify)
Purpose of visit
✔ Tourist
Ŀ
ĿBusiness
13 JANUARY 2016
Point of entry: Siem Reap
Means of Transportation:
Address during the visit:
Air
LA RESIDENCE D'ANGKOR, SIEM REAP & ON BOARD SHIP - JAHAN
Passport No:
Place of issue:
Date of issue:
Date of Expiration:
SHIP
Traveling on group tour
Surname
Children under 12 years
traveling with you
Point of exit: PHNOM PENH
Means of Transportation:
Organization, Persons
to be visited :
First trip to Cambodia
First name
Patronymic
Sex
M
F
Ŀ Yes
Ŀ No
Ŀ✔ Yes
Ŀ No
Date of birth
Permanent
Address
NONE
Relatives in the
Kingdom of Cambodia
For official use
éf¶pþl; …………...........
Tidæakarelx ………………
elxsMKal;………………
RbePT …………………
éf¶ …… Ex …… qñaM ……
htßelxam®nþITTYlbnÞúkkic©karkugs‘ul
LINDBLAD JH 91601
I hereby declare that the information
on this form is true and correct
Place, (Date)………..…………….
(Signature of the applicant)
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