925 Fifteenth Street NW 3rd Floor Washington DC 20005 Tel: 888 838 4867 - 425 244 9685 ♦ Email: [email protected]
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.
Brazil (Multiple) 1 2
Please enclose your actual passport along with two (2) photographs, one (1) completed visa application form for Brazil and one (1) clear photocopy of your driver’s license or other state issued identification. The Brazilian visa application must also be completed on line and one (1) cover sheet printed at the link shown herein to be included with your documents. Please also enclose a clear photocopy of the vital information page of your passport. (If you reside in any of the following states: GA, AL, MS, NC, SC or TN than you must also provide a photocopy of a current bank statement with the account number redacted for security purposes.) Photographs should be recently shot passport-type photos with a clear background precisely 2” x 2” in dimension. (Note that machine or home photographs are not acceptable.) Your passport must be valid until September 2, 2012 or for a minimum 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 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.
Fees shown include all necessary consular and service fees as well as the cost to ship your passport(s) from our offices 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.
Visa(s) # # Cost Req’d Forms Photos 1 – Persons - 2
Application Late Fee Deadline Per Person
December 27, 2011 (Or 50 days prior $25.00 to your departure)
Antarctica: Optional Post Tour to Iguazu Falls
February 27 – March 2, 2012
Applications should be received in our offices by December 27, 2011 or 50 days prior to your departure from your shipping address. (Due to lengthy processing times we urge you to apply for your Brazilian visa as soon as possible.) 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.
Please note that consular fees, shipping fees and application requirements quoted at the time of printing are subject to change without notice.
$284.00 $583.00
US citizens will not require visas for short tourist stays in Argentina. US passport holders must pay a $140.00 reciprocity fee each upon entry to Argentina.
GIVEN RECENT DELAYS WITH VISA PROCESSING FOR BRAZIL YOUR VISA FOR BRAZIL MAY NOT BE OBTAINABLE IF YOUR DOCUMENTS ARE RECEIVED AFTER THE DEADLINE.
PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems
925 15th Street NW, Ste #300 Washington DC 20005
♦ Your actual passport (Please keep a photocopy for your records.) ♦ This completed form
♦ One (1) photocopy of the vital information page of your passport ♦ One (1) completed visa application form per person for Brazil ♦ One (1) on line visa application cover sheet per person for Brazil ♦ Photocopy of current bank statement (GA, AL, MS, NC, SC, TN residents only) ♦ Two (2) passport type photographs per person ♦ Photocopy of driver’s license or state issued identification 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: ________________________________ Email: ____________________________________
________________________________ Date of Departure from Home: ____/____/_____ (FedEx cannot deliver to PO boxes) Mon th Da y Year
Address ________________________________ Tour Name: Post tour to Iguazu Falls
For ________________________________ Date of Tour Departure: 02 / 27 / 12 Mon th Da y Year Return of ________________________________ Special Instructions: ______________________
Passport: ________________________________ _________________________________________
Tel: ________________________________ _________________________________________
Please indicate below if there are known periods prior to your tour during which you wil l need your passport for another international tr ip or when you wil l not be avai lable to sign for the return of your passport. I w il l need my passport(s) for other international travel from _____/____/_____ to _____/____/_____ Mon th Da y Yea r Mon th Day Year
I w il l not be at my home and/or return shipping address from _____/____/_____ to _____/____/_____ Mon th Da y Yea r Mon th Day Year
CREDIT CARD AUTHORIZATION: AMEX / V ISA / MC (please circle one)
Cardholder Name:____________________________________ Signature: ______________________________
Card #: ___________________________________________ Expires: ____/____ Amount: US$ ____________ Mo Yr GOHAGAN BRAZIL 0227-12 (BRAZIL160)85 APP10 MO 4 FX25 284/543 4PGS VAL 09/02/12 DL 12/27/11 25.00
©2012 Pinnacle Travel Document Systems
IMPORTANT NOTICE REGARDING 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 until September 2, 2012 or 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 $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
[email protected] or 888-838-4867 and we will send you an instruction kit.
On Line Visa Application Form for Brazil In addition to the manual visa application all applicants must complete the
on line visa application for Brazil available at the following web page:
https://scedv.serpro.gov.br/frscedv/index.jsp
Click on VISA REQUEST at the bottom left of the page to begin.
Refer to the sample visa application included herein for information
regarding dates and contacts for your sponsoring organization in Brazil.
Once you have completed the four pages of the electronic application you will be asked if you want to print it. Please click the YES button at the
bottom of the page. Note that the entire form with all the data you inputted will not print in hard copy rather just a cover sheet with your basic
information to which you should affix one of your photographs and sign before sending to us along with the rest of your documents for processing.
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.
Please be careful to type the link exactly as shown above 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.
VISA REQUEST FORM
Home
Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
DATA
MAIN PURPOSE OF YOUR TRIP TOURISM
APPLICANT
FIRST NAME JONATHAN
MIDDLE NAME BONHAM
LAST NAME DOE
SEX MALE
MARITAL STATUS MARRIED
BIRTH DATE (dd/mm/yyyy) 13/03/1961
PREVIOUS NAMES
PREVIOUS NAME MAIDEN NAME FOR MARRIED FEMALES
REASON FOR CHANGES MARRIAGE ADD
PLACE OF BIRTH
CITY LOS ANGELES
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
NATIONALITY
NATIONALITY UNITED STATES
OTHER NATIONALITIES SELECT ADD
PARENTS
MOTHER'S FULL NAME JOHANA HANDEL DOE UNKNOWN
FATHER'S FULL NAME JOHAN SEBASTIAN DOE UNKNOWN
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VISA REQUEST FORM
Home
Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
TRAVEL DOCUMENTS
TYPE PASSPORT
NUMBER 0123456789
DATE OF ISSUE (dd/mm/yyyy) 10/05/2009
DATE OF EXPIRY (dd/mm/yyyy) 09/05/2019
ISSUING COUNTRY/ORGANIZATION US DEPARTMENT OF STATE
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VISA REQUEST FORM
Home
Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
PROFESSION
PROFESSION ENGINEER
EMPLOYER'S ADDRESS
NAME OF EMPLOYER/COLLEGE/SCHOOL ABC INTERNATIONAL, INC
ADDRESS 4321 MAIN STREET
CITY ANYWHERE
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
ZIP CODE 98765
PHONE NUMBER 9876543210
E-MAIL [email protected]
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VISA REQUEST FORM
Home
Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
PERMANENT RESIDENTIAL ADDRESS
ADDRESS 1234 MAIN STREET
CITY ANYWHERE
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
ZIP CODE 98765
PHONE NUMBER 9876543210
E-MAIL [email protected]
CURRENT ADDRESS
ADDRESS 1234 MAIN STREET
CITY ANYWHERE
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
ZIP CODE 98765
PHONE NUMBER 9876543210
CONTACT IN BRAZIL
NAME/HOTEL
ADDRESS
CITY
STATE/PROVINCE/etc. TOCOUNTRY BRAZIL
ZIP CODE
PHONE NUMBER
ESTIMATED DATE OF ARRIVAL (dd/mm/yyyy)
LENGTH OF STAY DAYS
HAVE YOU EVER BEEN TO BRAZIL? NO
IF TOU CANNOT VISUALIZE THIS IMAGE, PLEASE CLICK HERE.
PLEASE FILL THE TEXTBOX WITH THE CODE SHOWN IN LEFT BOX.
AXFWEB
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Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de
Viagem Versão:v2.6.3
It is strongly recommended the printing of this form to be presented at the Consulate of your jurisdiction.
The presentation of this printed form will facilitate the process. Affix your picture to the receipt and sign it. This form is valid only for the next 30 (thirty) days. Should the printing not be possible, write down the code number shown below and present it at the
Consulate along with one picture.
Your code number is: 100407-003335. Do you wish to print this form? YES NO
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MINISTÉRIO DAS RELAÇÕES EXTERIORES – MRERECIBO DE ENTREGA DE REQUERIMENTO - RER
PROTOCOLO NÚMERO:
DATA DE VALIDADE:
100823-002678
22/09/2010
DOCUMENTO SOLICITADO:
PAÍS DE NASCIMENTO:
NOME COMPLETO:
SEXO:
DATA DE NASCIMENTO:
LOCAL DE NASCIMENTO:
VISTO DE TURISTA
JOHNATHAN BONHAM DOE
ESTADOS UNIDOS
13/03/1961
LOS ANGELES
MASCULINO
Recibo expedido em 23/08/2010 às 16:13:24
(APPLICATION NUMBER)
(DATE OF EXPIRY - DD/MM/YYYY)
(DOCUMENT)
(FULL NAME)
(SEX)
(COUNTRY OF NATIONALITY)
(DATE OF BIRTH - DD/MM/YYYY)
(PLACE OF BIRTH)
ASSINATURA REQUERENTE / RESPONSÁVEL(SIGNATURE OF APPLICANT)
PROTOCOLO NÚMERO: 100823-002678(APPLICATION NUMBER)
NOME DO CONTATO:
TELEFONE:
_________________________________________
_________________________________________
---------------------------------------------------------------------------
PAÍS DE NA
DATA DE NAS
LOCAL DE NA
(COUNTRY OF NA
RTH - DD
(PLA
MENTO:
SEXO:
CIMENTO:
ES
13/
MA
NAME)
CIMEN
(SEX)
IONALITY)
D/MM/YYYY)
TURISTA
HNATHAN BONHAM D
TADOS UNIDO
03/
SCULINO
EE
TURIST
HNATHAN BONHAM DO
TADOS UNIDO
/03/
SCULINO
O:
ES
13/
MA
NAME
CIMEN
(S
YY
AÍS DE NA
AS
NA
NA
F BIRTH - DD
LA
ALIT
DA
LOCAL DE
(CO
IRT
EXO
MEN
C O:
EX
ION
D/MM/YYYY)
TO
ENTO
TY
NOTE THAT YOU MUST SEND YOUR DOCUMENTS TO US WELL INADVANCE OF THIS DATE AS SHOWN ON YOUR FORM FOR SUBMISSIONFOR PROCESSING
PLEASEGLUE ONEPHOTO HEREAND STAPLEONE TO THEMANUAL VISAAPPLICATION
PLEASE NOTE THAT THISAPPLICATION COVER SHEET WITHYOUR BASIC INFORMATION THATYOU INPUTTED IS THE ONLY THINGTHAT YOU WILL PRINT AND IS WHATYOU SHOULD SEND TO US ALONGWITH YOUR OTHER DOCUMENTS
PLEASE DO NOT FORGET TO SIGN YOURFORM IN THIS BOX BEFORE SENDING IT TOUS ALONG WITH YOUR OTHER DOCUMENTS
PRINT YOUR NAME AND TELEPHONE NUMBER ON THE LINES PROVIDED HERE
Jonathan Bonham DOE
Los Angeles CA USA 13 March 1961
USA X Married
0123456789 USA 09 MAY 2015
Johan Sebastian DOE - USA
Martha Page DOE - USA
✔
Engineering
Production Manager
ABC International, Inc.
4321 Main Street Anywhere CA 98765(987) 654-0123
1234 Main Street Anywhere CA 98765(987) 654-3210
GOHAGAN BRAZIL 0227-12
PREPAID TOURIGUAZU FALLS
IGUAZU FALLS 29 FEBRUARY, 2012 1 DAY
SHERATON IGUAZU HOTEL PARQUE NACIONAL IGUAZU, IGUAZU 3770
SHERATON IGUAZU HOTELPARQUE NACIONAL IGUAZU 85863-000 54 3757 491800
✔2001 - Rio de Janeiro - 7 Days
Jonathan Bonham DOE 10 DEC 2011
GOHAGAN BRAZIL 0227-12