Empire of the Incas: Peru & Bolivia

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1625 K Street NW Suite 750 Washington DC 20006 T el: 888 838 4867 Email: T AUCK

@PinnacleTDS.com

Bolivia 1 1

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.

V i sa (s ) # # Co st

Re q’ d F o rm s P h ot os 1 – P e rs ons - 2

Application Expedite Fee De ad li ne P e r P erso n

(30 days prior $30.00

to your departure)

Empire of the Incas: Peru & Bolivia

TAUCK PB 2015

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.

$285.00 $540.00

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.

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.

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PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO:

Pinnacle Travel Document Systems

1625 K Street NW Suite 750

Washington DC 20006

♦ Your actual passport ( Pl eas e k ee p a p ho toc opy f or yo ur r eco rd s. )

♦ T his com pleted 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

PL E AS E TY P E OR P RINT CLE ARL Y

F ul l Name (1 ) :________________________ ___ __ F ul l Name (2 ) : __ ___ ____ ___ ___ ___ _________ __ P as sp o rt # :__________ __________ E xp :___/__ _ P as sp o rt # :_ ___ ___ ___ ___ ___ ___ _ E x p :___/___ M o Y r M o Y r Ho me _____________ ____________ ___ ___ _ Ho me Te l : __ ___ ___ ___ ___ ___ ____ ___ ___ ___ __ M ai li ng __________ ____________ ___ ___ ___ _ W o rk T el : __ ___ ___ ___ ___ ___ ____ ___ ___ ___ __ Ad d res s : _______ ___ ____________ ___ ___ ___ _ E ma il : __ ___ ___ ___ ___ ___ ____ ___ ___ _________ _________________________ ___ ___ _ Da te o f Depa rtu re f ro m Ho me : ___ _/____/_____ ( Fe dE x ca nno t d el i v er t o P O b ox e s ) M o n t h D a y Y e a r

Ad d res s _________________________ ___ ___ _ T ou r Nam e : Emp i re o f th e In ca s : P e ru & Bo li vi a

F o r th e _____________ ____________ ___ ___ _ Da te o f To u r: / / 20 15 M o n t h D a y Y e a r Re tu rn of _________________________ ___ ___ _ S p eci al I ns t ru ct io ns : __ __ ___ ___ ___ _________ P as sp o rt : _________________________ ___ ___ _ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _________ _ T el : _________________________ ___ ___ _ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ____ P l e a se i nd i c a t e b el ow i f the r e a re k now n pe ri od s p ri o r to yo u r to ur du ri n g w hi c h yo u w i l l ne e d yo u r pa s sp or t f o r an ot h er i n t er na ti on al tr i p or w he n yo u w i l l n o t b e a va i l abl e to si gn f or t h e re t u rn of yo u r p a s spo r t. I w i l l 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 t ra ve l f r om _ ___ _ /__ __ /__ ___ to __ ___ /_ ___ /___ __ M o n t h D a y Y e a r M o n t h D a y Y e a r

I w i l l 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 f rom ___ __ /_ ___ /_ ___ _ to __ ___ /_ ___ /_____

M o n t h D a y Y e a r M o n t h D a y Y e a r

CRE DIT CARD AUT HORIZ AT I ON: A M E X / V I S A / M C (please circle one)

Cardholder Name: _ _ __ _ _ __ _ __ _ _ _ __ _ _ __ _ S i g nat u r e: _ ___ _ _ _ __ _ _ __ _ _ __ _ _ __ _ B il lin g Z ip C o d e: __ _ _ __ _ _ __ _ __ Card #: _ _ __ _ _ __ _ _ __ _ _ __ __ _ _ _ __ _ _ __ _ _ _ CI D# _ _ __ _ __ _ _ _ __ _ _ Expires: _ __ _/ _ _ _ Amount: US$ __ _ _ __ _ __

M o Y r

T AU C K P B 20 1 5 ( BO LI V I A1 6 5 ) 8 0 2 8 5/ 54 0 FX 3 0 ( AP P FE E 1 0) 4P GS ( 1 S E T F AC I NG B L AN K FO R B OLI V I A) V AL 6 M THS DL 3 0 D YS 3 0 . 0 0 3. 5 %

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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 $222.00 for passport pages and $250.00 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 Pages

Passport Renewals

First Time Passports

Second Passports

WWW

.Traveldocs.com/PTDSPassports

You may also contact us via email or phone at

TAUCK

@PinnacleTDS.com

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Online Visa Application Form for Bolivia

All application forms must be completed online at the following web page:

http://boliviawdc.com/index.php/visas-en/tourism

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.

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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: USA

Marital Status: Married Current Occupation:

Engineer

Section 1 – Contact Information

Home Phone Number: 987-654-3210 Work Phone Number: 987-456-3210 Cell Phone Number: 987-345-4321 Email Address: Jdoe@anywhere.com

Section 3 – Document Information

Type of Passport: Regular Passport Number: 9876543210 Place of Issuance: Dept. of State

City: Washington DC Country: USA

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: 98765 Country: USA

Phone Number: 987-654-3210

Work Address (of Applicant)

Street Address: 4321 Main Street City: Anywhere State: California Postal Code: 98765 Country: USA

Phone Number: 987-654-0123

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

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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 USA MARRIED

Carnet de Identidad/National Identification

Number: Ocupacion Actual/Present Ocupation:

NOT APPLICABLE ENGINEER

Clase y Numero de Pasaporte/Passport Type and Number: Fecha de Emision/Issuing Date:

REGULAR : 9876543210 05/10/2009

Lugar de Emision/Place of Issuance: Fecha de Expiracion/Expiration Date:

DEPT OF STATE 05/09/2019

Ciudad/City: WASHINGTON DC

Pais/Country: USA

Telefono de su residencia/Home phone number: 987-654-3210

Telefono donde trabaja/Work phone number: 876-543-2109

Telefono Celular/Mobile: 987-456-3210

Buscapersona/Beeper number: *BEEP XXX-XXXX*

Direccion electronica/Email address: JDOE@ANYWHERE.COM

Solicitó visa anteriormente?/Have you applied before for a visa?: 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:

Ministerio de Relaciones Exteriores Viceministro de Relaciones Exteriores y Cultos

Direccion General de Regimen Consular www.rree.gob.bo

Ministerio de Gobierno Viceministro de Regimen Interior Direccion Nancional de Migracion Avenida Camacho No. 1614

Tel/Fax (591-2)2110960

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

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NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NO NOT APPLICABLE

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Dirección/ address: Ciudad/City: 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

Ciudad/City: Ciudad/City:

*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:

*USA *USA

Teléfono/Telephone number: Teléfono/Telephone number:

*987-654-3210 *987-456-3210

Informacion de Viaje/Travel Information:

Medio de Transporte/Transportation: Ruta/Route:

GROUND*

LAKE TITICACA / DRIVE TO LA PAZ* Fecha de Retorno/Date of Return:

*06/05/2012

Lugar de presentacion de la Solicitud/Place of Application: Fecha/Date:

** **

___________________________ ___________________________

Firma del Solicitante Firma del la Authoridad Consular

Applicant's Siganture Consul's Signature

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PER YOUR ITINERARY

PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION

NOT APPLICABLE

NOT APPLICABLE

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