I am a NON-US Citizen – Page 4 – Passportrush & Visas

SERVICE ORDER FORM

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Complete & Print one (1) copy

Service Fees

Same Day : $240.00

2-3 Days : $178.00

5 Days : $125.00

Provide one of the following

Travel Itinerary

Plane Ticket

Applicant’s name must appear on documentation

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Single entry & Multiple Entry Options Available

See the following

See Instructions

One (1) Signed Visa Application Form
See Instructions

Provide Payment when submitting documents:

Counsular Fees

3-4 Days: $170.00

5-6 Days: $145.00

Provide the following

Provide one of the following

Hotel Confirmation

Trip Itinerary

Invite Letter

One (1) Signed Visa Application Form