DMS

Fill this in on screen or by hand, then print, sign and mail it to us. Nothing you type here is sent anywhere.

Prefer to order online? Use the online order form (account required).

DMS Visa International

Order form

1750 H Street NW Suite 360 Washington D.C. 20006-4600

(202) 745-3815

1. Services requested

Countries (separate with commas)
Date of departure
Documents needed by

2. Applicant

First name
Last name
Date of birth
Email
Phone
Alternate phone
Street address
City
State
ZIP code

3. Shipping (if different from above)

Company name
Shipping address

4. Additional travelers

Full name Date of birth Services

5. Payment

Do not write card details on this form. After we receive your order, we'll email you an invoice from Square, our payment provider, with a secure link to pay online. A 3.5% processing fee applies to card payments. We never ask for payment details by mail or email.

6. Authorization

I agree to pay DMS Visa International for the services requested above, plus applicable government and processing fees.

Signature
Date

Mail the signed form to

1750 H Street NW Suite 360 Washington D.C. 20006-4600

Questions: (202) 745-3815 ยท [email protected]