Printable Applications by BeunaventuraLongjas

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									 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

								
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