Instant Passport Visa Order Form
For Instant Passport to begin processing your order, you must:

1. Fill out the form and Press the 'submit' button at the bottom of the page to electronically send Instant Passport agents your information.

2. After you press 'submit', your browser will automatically display a form with the info you sent us. ***YOU MUST send us a printed copy of that form with your *departure date* and *shipping address* enclosed in the FedEx package you send to our couriers.***

There is no obligation for payment until you have completed your order by Shipping all required documents to our couriers and submitting a FedEx tracking number to our national call center. Instant Passport uses your information for the purpose of your order only. We never share any of your personal information with other companies or advertisers.


Customer/FedEx Shipping Information:
Name:   Birth Date:     
Travel Purpose:  Home Phone:
()  -  ext
Please FedEx my passport/visa to Address:
Line 1: 
Line 2:  		Work Phone:
()  -  ext
Fax:       -
City:  State:  Zip:  Email: 
Service Information:
Company:  Date of Departure:    
Check for Saturday Delivery            Preferred Customer Acct #: 
Additional Names: (If ordering for more than one person)
1:  2:  3: 
Passport Services: Qty: Instant Passport Service Level: Visa Services: Qty: Visa Service Level:
FedEx Options:  FedEx Acct #:  
Payment Method:  
Instant Passport Fee: