PRINTABLE APPLICATION

Please print this form, fill out and send it with your payment to:

Attention:  additional charge $5.00 will apply if you fill out 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

First name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Last name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Address: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

 |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

City: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

State/Province: |___|___|___|___|___|___|___|___|___|___|___|___|___|

ZIP/Post Code: |___|___|___|___|___|___|___|___|___|___|___|___|

Country: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

MAILING ADDRESS (LEAVE BLANK IF THE SAME)

First name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Last name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Address: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

 |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

City: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

State/Province: |___|___|___|___|___|___|___|___|___|___|___|___|___|

ZIP/Post Code: |___|___|___|___|___|___|___|___|___|___|___|___|

Country: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Date of Birth: _____|_____MM______|_____DD______|_______YY

Country of Birth: |___|___|___|___|___|___|___|___|___|___|___|___|___|

Gender(male, female) : __F___|___M____|   (CIRCLE)

Eye color: |___|___|___|___|___|___|___|___|___|___|___|___|___|

Height: |___|___|____| CM  |___|  FEET  |___|  INCHES

DRIVER’S LICENSE #  |___|___|___|___|___|___|___|___|___|___|___|

Exp. Date:      _____|_____MM______|_____DD______|_______YY

Category : |_A_|  MOTORCYCLES

|_B_|  PASSENGER CARS

|_C_|  VEHICLES OVER 7,700  Lbs

|_D_|  VEHICLES OVER 8 SE ATS

|_E_|  VEHICLES OF B,C, OR D with other that a light trailer

                  |___|   NON GOVERNMENTAL ID CARD 

To order an International Translation of Driver’s License for more than a one year validity period you represent that your driver’s license will either be valid for such a period, automatically renewed or will renew your license in your country of origin. Validity periods maintain your validity status provided that the native original driver’s license is valid for that same period

CONTACT INFORMATION

E-Mail: |___|___|___|___|___|___|___|___|___|___|___|___|___|____|___|

Phone: |___|___|___|___|___|___|___|___|___|___|___|___|

         1 YEAR VALIDITY   -   $35.00

         3 YEARS VALIDITY  -  $50.00

         5 YEARS VALIDITY  -  $65.00

        10 YEARS VALIDITY - $85.00

        20 YEARS VALIDITY (GOLDEN WITH ELECTRONIC CHEAP) - $150

         5 YEARS NON GOVERNMENT ID CARD -  $25.00

INSURANCE FOR ALL OF IDL’s -  $ 7.99

INSURANCE FOR GOLDEN IDL -  $ 12.99

HANDLING THIS APPLICATION - $ 5.00

International Shipping Rates Prices

         DHL International $ 45.00

         DHL Express International $ 59.00

United States Shipping Rates Prices

    USPS Regular Mail  $ 1.00

          USPS Priority mail    $ 5.00

          USPS Priority mail ( trackable )  $ 6.00

          USPS Express mail (Within USA)  $ 17.00

          DHL Three Day Select (Within USA)  $ 12.00

          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 |/span>__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

    Card #: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|   Exp. date: |__|__|     |__|__|__|__|            

                     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)     |___|

44. 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