Passport Order Form printable pdf download

Rapid Visas Ltd

PASSPORT

12 Seymour Gardens

Feltham

Middlesex

ORDER FORM

Tel: 0845 224 9482

TW13 7PQ

Email:

Web:

CONTACT DETAILS

Name:

Home Tel No:

Mobile Tel No:

Return Postal Address:

Email Address:

CURRENT

UPCOMING TRIP

NAME ON APPLICANT

EXPIRY DATE

DATE OF BIRTH

PASSPORT NO.

DATE

DELIVERY OPTIONS – PLEASE TICK

I Have Enclosed a Pre-Paid Special Delivery S.A.E

Courier Delivery

Royal Mail Special Delivery

VISA AND SERVICE TYPE – PLEASE TICK

Age

Pages

Standard Service

Express Service

Adult

32 Pages

Standard

2 Day Express

7 Day

Child

48 Pages

METHODS OF PAYMENT

For Card Payments Please Complete the Details Below. Note that there is a 3.9% service charge on the Total Amount for credit card payments.

CARD DETAILS

Card Number

Issue

Security No.

Card Type

Valid From

Expiry Date

Number

(3 digits back of card)

e.g. Switch/Visa

Name on Card

Registered Card Address

I have read and agree with ‘Rapid Visas’ Terms and Conditions as described on the company website.

I hereby authorise Rapid Visas Ltd to charge a variable amount to my credit/debit card to cover the costs as detailed on the website.

As a Passport and Visa company, we make every effort to deliver the correct information to the embassy on time, but cannot guarantee the time taken

by the embassy for visa processing and issuance. Rapid Visas Ltd cannot be held liable for any delays or losses as a result of the Embassy, Passport

office, Royal Mail, Courier service or third parties. Please note that for our passport renewal service, we use a third party based in London. Unless

otherwise stated all deliveries will be made using Royal Mail special delivery.

Signature:

Print Name:

Date:

Please kindly send all passport information and documentation to the following address:

Passport services Tempo House, 15 Falcon Road, Battersea, London SW11 2PJ

In order to provide this service and we use a third party agent based in London. Please ensure that you send your

documents to: Passport services, Tempo House, 15 Falcon Road, Battersea, London SW11 2PJ

Registered Address: 12 Seymour Gardens, Feltham, Middlesex, TW13 7PQ

Tel: 0845 224 9482 Email: Web:

Rapid Visas Ltd Company Reg No. 6400012 VAT Reg: 945414910

Passport Order Form

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