1625 K Street NW Suite 750 Washington DC 20006
T el: 888 838 4867 ♦ Email: K ALOS @PinnacleTDS.com
Visa requirements shown below are for U.S. CITIZENS ONLY. Nationals of all other countries please
contact Pinnacle Travel Document Systems directly for specific requirements associated with your itinerary.
South Africa Golf Cruise
January 30 – February 12, 2016
Visa(s)
Req’d
#
Forms
#
Photos
Mozambique
1
2
Per person Per person
Cost
1 – Persons - 2
$270.00
$510.00
Application
Deadline
December 30, 2015
(or 30 days prior
to your departure)
Expedite Fee
Per Person
$100.00
Note that South Africa requires that you have one set of facing blank visa pages for each entry.
Visas are not required for short tourist stays in South Africa. Due to the short validity of the Mozambique visa your
passport will be returned to you no earlier than 30 days prior to the tour departure. If you have interim travel plans
between November 15, 2015 and January 30, 2016 please contact PTDS to make arrangements for a longer validity
visa. Please use the enclosed sample information verbatim but substitute your personal information.
Fees shown above include all necessary consular and service fees as well as the cost to return your
passport(s) to you from our offices 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 two (2) photographs and one (1) completed
Mozambique visa application form per applicant. Please also enclose two (2) clear photocopies of the
vital information page of your passport. Photographs should be recently shot passport-type color
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 until August 12, 2016 or for a minimum of six (6) months
beyond the completion of your international travel and must have at least six (6) blank unused pages
available, including 3 sets 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
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 or by December 30, 2015, whichever is sooner. (Please do not send
your documents prior to November 15, 2015 due to limited validity period of the visa.)
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 and credit card payment accepted. Credit card payment subject to 3.5% surcharge.
PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO:
Pinnacle Travel Document Systems
1625 K Street NW Suite 750
Washington DC 20006
♦ 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) completed visa application form per person for Mozambique
♦ Two (2) passport-type color photographs per person
♦ Credit or debit card authorization below (Payment by check is also accepted)
Credit card payment subject to 3.5% surcharge.
P LEASE PRINT CLEARLY
Full Name (1): _____________________________
Full Name (2): _____________________________
Passport #: ____________________ Exp: ___/___
Passport #: ____________________ Exp: ___/___
Home
________________________________
Home Tel: ________________________________
M ailing
________________________________
Work Tel: ________________________________
Address:
________________________________
Email: ____________________________________
________________________________
Date of Departure from Home: ____/____/_____
Mo
Yr
Mo
Month
( Fe dE x ca nno t d eli v er t o P O b ox e s )
Address
________________________________
Tour: South Africa Golf Cruise
For the
________________________________
Date of Tour:
01 /
Month
Day
Yr
Year
30 / 2016
Day
Year
Return of ________________________________
Special Instructions: ______________________
Passport: ________________________________
_________________________________________
________________________________
_________________________________________
Tel:
Pl e a se ind ic a t e b el ow if the r e a re k now n pe ri od s p rio r to yo u r to ur du rin g w hic h yo u w ill ne e d yo u r pa s sp or t
f o r an ot h er in t er na ti on al tr ip or w he n yo u w ill n o t b e a va il abl e to si gn for th e re tu rn of yo u r p a s spo r t.
I w ill 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 tra ve l fr om
_____/____/_____ to _____/____/_____
I w ill 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 from
_____/____/_____ to _____/____/_____
Mo nt h
Day
Mo nt h
Year
Day
Year
Mo nt h
Mo nt h
Day
Day
Year
Year
CREDIT CARD AUTHORIZATION: A M E X / V I S A / M C (please circle one)
Cardholder Name: _ _ __ _ _ __ _ __ _ _ _ __ _ _ __ _ Si g nat u re: _ ___ _ _ _ __ _ _ __ _ _ __ _ _ __ _ Bil lin g Z ip Co d e: __ _ _ __ _ _ __ _ __
Card #: _ _ __ _ _ __ _ _ __ _ _ __ __ _ _ _ __ _ _ __ _ _ _ CI D# _ _ __ _ __ _ _ _ __ _ _
K AL O S M OZ AM BI QUE 0 1 3 0- 1 6 (M O Z AM BIQ UE 1 65 )7 5
2 7 0/ 5 1 0
Expires: _ __ _/_ _ _
Mo
Yr
Amount: US$ __ _ _ __ _ __
FX 30 6 PGS ( 3 SE TS F ACI NG F OR S. A)
V AL 6M OS DL 1 2 3 0 -1 6 1 0 0. 0 0 3. 5 %
TE M OZ AM BIQ UE 0 6 DE CEM BE R 2 0 15
 2 0 16 Pin na cl e Tr a v el Do cum en t S ys t e m s
E NTE R M OZ AM BI QUE
0 6 FE BRUAR Y 2 0 1 6
ONLINE ORDER COMPLETION & AUTOMATED UPDATES:
We encourage you to request your visa through our online service. This will
allow you to pay all fees online, receive automated email updates regarding the
progress of your documents as well as purchase an inbound FedEx shipping
label for $30.00 to use to securely send your documents to us. If you wish to
take advantage of this service, please locate and click on the name or number of
your specific program at the link below to process your order.
www.PinnacleTDS.com/Kalos
IMPORTANT NOTICE - PASSPORT PAGES & VALIDITY:
You must have at least six (6) blank unused pages available in your passport for
visas and entry/exit stamps including 3 sets of 2 facing blank visa pages for
South Africa. In addition, your passport must be valid for six (6) months beyond
the completion of your international travel. If you are a U.S. citizen and do not
have the adequate number of pages or validity you will need to renew your
passport because the U. S. Passport Agency will no longer add pages.
Pinnacle Travel Document Systems can easily assist you with this at the same
time your visas are being processed. The total additional fees for this service
(including U.S. government expediting fee) is $264.00 for passport renewals and
second passports. 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 Renewals
First Time Passports
Second Passports
WWW .Traveldocs.com/PTDSPassports
You may also contact us at [email protected] or
888-838-4867 and we will send you an instruction kit.
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