PRINTABLE APPLICATION
Please print this form, fill out and send it with your payment to:
KRASCAR INTERNATIONAL TRAVEL CLUB INC. For official use only
For official use only Suite # 293
1162 St. Georges Ave.,
Avenel NJ 07001, USA
Attention: additional charge $5.00 will apply if you fillout printable application by hand
no any additional charges if you apply online at http://IDLicense.com/app
INFORMATION AS PRINTED ON YOUR NATIVE DRIVER LICENSE MAILING ADDRESS (LEAVE BLANK IF THE SAME)
First name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___| First name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Last name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___| Last name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Address: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Address: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
City: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| City: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
State/Province: |___|___|___|___|___|___|___|___|___|___|___|___|___| State/Province: |___|___|___|___|___|___|___|___|___|___|___|___|___|
ZIP/Post Code: |___|___|___|___|___|___|___|___|___|___|___|___| ZIP/Post Code: |___|___|___|___|___|___|___|___|___|___|___|___|
Country: |___|___|___|___|___|___|___|___|___|___|___|___|___|___| Country: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Date of Birth: _____|_____MM______|_____DD______|_______YY CONTACT INFORMATION
Country of Birth: |___|___|___|___|___|___|___|___|___|___|___|___|___| E-Mail: |___|___|___|___|___|___|___|___|___|___|___|___|___|____|___|
Gender(male, female) : __F___|___M____| (CIRCLE) Phone: |___|___|___|___|___|___|___|___|___|___|___|___|
Eye color: |___|___|___|___|___|___|___|___|___|___|___|___|___|
1 YEAR VALIDITY - $35.00
Height: |___|___|____| CM |___| FEET |___| INCHES 3 YEARS VALIDITY - $50.00
5 YEARS VALIDITY - $65.00
DRIVER’S LICENSE # |___|___|___|___|___|___|___|___|___|___|___|
10 YEARS VALIDITY - $85.00
Exp. Date: _____|_____MM______|_____DD______|_______YY 20 YEARS VALIDITY (GOLDEN WITH ELECTRONIC CHEAP) - $150
Category : |_A_| MOTORCYCLES 5 YEARS NON GOVERNMENT ID CARD - $25.00
|_B_| PASSENGER CARS INSURANCE FOR ALL OF IDL’s - $ 7.99
INSURANCE FOR GOLDEN IDL - $ 12.99
|_C_| VEHICLES OVER 7,700 Lbs HANDLING THIS APPLICATION - $ 5.00
|_D_| VEHICLES OVER 8 SEATS International Shipping Rates Prices
|_E_| VEHICLES OF B,C, OR D with other that a light trailer DHL International $ 45.00
DHL Express International $ 59.00
|___| NON GOVERNMENTAL ID CARD
United States Shipping Rates Prices
To order an International Translation of Driver’s License USPS Regular Mail $ 1.00
for more than a one year validity period you represent that your USPS Priority mail $ 5.00
driver’s license will either be valid for such a period,
USPS Priority mail ( trackable ) $ 6.00
automatically renewed or will renew your license in your
country of origin. Validity periods maintain your validity status USPS Express mail (Within USA) $ 17.00
provided that the native original driver’s license is valid for that DHL Three Day Select (Within USA) $ 12.00
same period DHL Second Day Air (Within USA) $ 24.00
DHL Next Day Air (Within USA) $ 39.00
Payment method
Money order #__________________________________
Personal or Company Check #_____________________
Western Union #________________________________ Sender’s First and Last name ______________________________________
Credit or Debit card
Name on the credit card |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Card #: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Exp. date: |___|___| |___|___|___|___|
VISA, MASTERCARD, AMERICAN EXPRESS, DISCOVERY MONTH YEAR
For MasterCard or Visa the 3-digit CVV which |___|___|___|___| can be found after the account number on the back of the card
Billing Address of CC |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
I, the client, confirm that my native driver’s license is valid, issued by a government entity, not subject
to revocation or suspension. I acknowledge that my International Translation of Driver’s License is not a standalone
document, and must be go together with by my valid native driver’s license. I acknowledge that it is my obligation to
verify with the local authority the rights to use a translation of my native driver’s license.
Note: Applications without payment or credit card info cannot be processed
Be sure met all requirements for International Translation of Driver License:
1. Signed Application |___|
2. One Photo (any sizes) |___|
3. Copy of Native Driver License (both sides) |___|
4. Payment |___|
Do not forget include in payment shipping cost and $5 for handle this application
ATTACH ONE COLOR PHOTO (ANY SIZES) SIGNATURE HERE (WRITE CLEARLY BELOW)
ATTACH COPY OF YOUR NATIVE DRIVER LICENSE