Empire of the Incas: Peru & Bolivia

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1 1625 K Street NW Suite 750 Washington DC Tel: 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. Empire of the Incas: Peru & Bolivia TAUCK PB 2015 Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Expedite Fee Per Person Bolivia 1 1 $ $ (30 days prior $30.00 to your departure) Visas are not required for short tourist stays in Peru. 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 one (1) photograph and one (1) completed visa application form for Bolivia. Please also include two (2) clear photocopies of the vital information page of your passport and a photocopy of your current bank statement with the account number redacted for security purposes. The Bolivian visa application must be completed online at the link shown herein then printed and included with your documents. 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 including 1 set of 2 facing blank visa pages 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 30 days prior to your departure from your shipping address. 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 3.5% surcharge.

2 PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750 Washington DC Your actual passport (Please keep a photocopy for your records.) This completed form Two (2) photocopies of the vital information page of your passport One (1) visa application per person completed online for Bolivia One (1) passport-type photograph per person Photocopy of current bank statement 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: (FedEx cannot deliver to PO boxes) Date of Departure from Home: / / Month Day Year Address Tour Name: Empire of the Incas: Peru & Bolivia For the Date of Tour: / / 2015 Month Day Year Return of Special Instructions: Passport: 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: AMEX / VISA / MC (please circle one) Cardholder Name: Signature: Billing Zip Code: Card #: CID# Expires: / Amount: US$ Mo Yr TAUCK PB 2015(BOLIVIA165)80 285/540 FX30 (APP FEE 10) 4PGS (1 SET FACING BLANK FOR BOLIVIA) VAL 6 MTHS DL 30 DYS % 2015 Pinnacle Travel Document Systems

3 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 including 1 set of fully blank facing pages. In addition, your passport must be valid for a minimum of 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 $ for passport pages and $ 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 Pages Passport Renewals First Time Passports Second Passports You may also contact us via or phone at or and we will send you an instruction kit.

4 Online Visa Application Form for Bolivia All application forms must be completed online at the following web page: Refer to the sample visa application and data input included for information regarding dates and sponsoring organizations in the U.S. and Bolivia. Please use sample information verbatim and substitute your personal information. All dates on the form are in DAY/MONTH/YEAR format. Please note that this online format is the only acceptable application. No handwritten applications will be accepted. Please print the online form and include it with your documents. All forms must bear your original signature and be in English. Please be aware that the above link is maintained by a Bolivian government sub-contractor and 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.

5 Bolivia Visa Application Sample Data Input Section 1 - Personal Information Last Name: Doe First Name: Johnathon Middle Name: Bonham Date of Birth (mm/dd/yyyy): 03/13/1961 Gender: Male Nationality: Marital Status: Married Current Occupation: Engineer Section 1 Contact Information Home Phone Number: Work Phone Number: Cell Phone Number: Address: Section 3 Document Information Type of Passport: Regular Passport Number: Place of Issuance: Dept. of State City: Washington DC Country: Issuing Date (mm/dd/yyyy): 05/10/2009 Expiration Date (mm/dd/yyyy): 05/09/2019 Section 4 Emergency Contact Information Full Name: Full name of a close friend or relative who is your emergency contact Date of Birth (mm/dd/yyyy): Date of birth for your emergency contact Home Address (of Applicant) Street Address: 1234 Main Street City: Anywhere State: California Postal Code: Country: Phone Number: Work Address (of Applicant) Street Address: 4321 Main Street City: Anywhere State: California Postal Code: Country: Phone Number: Section 5 Travel Information Have you applied for a visa before: No Do you have relatives in Bolivia: No How many days do you intend to stay in Bolivia: 3 Which place would you like to visit: La Paz Transportation: Ground Route: Lake Titicaca to La Paz Return Date: (Date you exit Bolivia) Per Your Itinerary Travel Date: ( Date you enter Bolivia) Per Your Itinerary

6 Print Preview Page 1 of 2 Ministerio de Relaciones Exteriores Viceministro de Relaciones Exteriores y Cultos Direccion General de Regimen Consular Ministerio de Gobierno Viceministro de Regimen Interior Direccion Nancional de Migracion Avenida Camacho No Tel/Fax (591-2) DECLARACIÓN JURADA DE SOLICITUD DE VISA SWORN STATEMENT FOR VISA APPLICATION Nota: No está permitido el cambio de status migratorio en Bolivia Note:It is not allowed to change migratory status while in Bolivia TIPO DE VISA REQUERIDA/TYPE OF VISA REQUESTED: Tourist Apellidos/Surnames: Primer Nombre/First Name: Segundo Nombre/Middle Name: DOE JOHNATHON BONHAM Lugar y Fecha de Nacimiento/Place and Date of Bith: Nacionalidad/Nationality: Estado Civil/Marital Status: 03/13/1961 MARRIED Carnet de Identidad/National Identification Number: Ocupacion Actual/Present Ocupation: ENGINEER Clase y Numero de Pasaporte/Passport Type and Number: Fecha de Emision/Issuing Date: REGULAR : /10/2009 Lugar de Emision/Place of Issuance: Fecha de Expiracion/Expiration Date: DEPT OF STATE 05/09/2019 Pais/Country: WASHINGTON DC Telefono de su residencia/home phone number: Telefono donde trabaja/work phone number: Telefono Celular/Mobile: Buscapersona/Beeper number: Direccion electronica/ address: Solicitó visa anteriormente?/have you applied before for a visa?: *BEEP XXX-XXXX* NO Dónde?/Where?: Cuánto tiempo desea permanecer en Bolivia?/How long do you intend to stay in Bolivia? Fecha/Date: 3 Qué lugar le gustaría visitar?/which place would you like to visit?: LA PAZ Tiene familiares en Bolivia?/Do you have relatives in Bolivia?: Nombre completo/full name: NO 10/23/2011

7 Print Preview Page 2 of 2 10/23/2011 Dirección/ address: Teléfono/Telephone: PERSONA(S) DE CONTACTO EN CASO DE EMERGENCIA/ IN CASE OF EMERGENCY, CONTACT: Nombre completo/full name: JOHNATHAN BONHAM DOE Fecha de nacimiento/date of birth: 03/13/1961 Direccion donde vive/home address Direccion donde trabaja/work address Calle/Street address: Calle/Street address: 1234 MAIN STREET 4321 MAIN STREET *ANYWHERE *ANYWHERE Estado o Departamento/State or Province: Estado o Departamento/State or Province: *CALIFORNIA *CALIFORNIA Código Postal/Postal Code: Código Postal/Postal Code: *98765 *98765 País/Country: País/Country: * * Teléfono/Telephone number: Teléfono/Telephone number: * * Informacion de Viaje/Travel Information: Medio de Transporte/Transportation: Ruta/Route: LAKE TITICACA / DRIVE TO LA PAZ* GROUND* Fecha de Retorno/Date of Return: *06/05/2012 PER YOUR ITINERARY Lugar de presentacion de la Solicitud/Place of Application: Fecha/Date: ** ** PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION Firma del Solicitante Firma del la Authoridad Consular Applicant's Siganture Consul's Signature

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