Print this form, complete in full and mail completed form with payment and one passport style photograph to:

IDL International, Inc. P.O. Box 356 Hebron, Kentucky 41048-0356

NOTE: Do Not Ship, Fed-Ex, DHL, UPS, Airborne, etc. to our P.O. Box., click on the FedEx - UPS - Airborne button below.

International Driver's License Application

This application is for non-US residents who plan to drive while visiting the United States.
		Please Type or Print Clearly
1.	Last name:	______________________________
2.	First Name:	______________________________
3.	Current Driver's License Address:	______________________________ ______________________________ ______________________________ ______________________________
4.	Address to Mail IDL:	______________________________ ______________________________ ______________________________ ______________________________
5.	Email Address:	______________________________
6.	Telephone (for use with this order):	______________________________
7.*	Passport #:	______________________________
8.*	Passport Date of Issue#:	______________________________
9.*	Passport Place of Issue:	______________________________
10.	Place of Birth:	______________________________
11.	Date of Birth:	______________________________
12.	Nationality:	______________________________
13.	Driver's License #:	______________________________
14.	State/Country of Issue:	______________________________
15.	Date of Issue:	______________________________
16.	Expires On:	______________________________
17.	Applicant Signature:	______________________________
* Not Mandatory
I understand that this international driver's license is in no way intended to replace a suspended or revoked driver's license from the United States or any other country, and I am not applying for this international driver's license to use as such. I do further understand that this international driver's license will become null and void if a license is issued and the above is the actual Intention of the applicant. I further release IDL International, Inc. from any and all said liability caused by any misrepresentation on my part. I additionally release IDL International, Inc. from any and all liability caused by applicant's failure to comply with any local, state, national, or international law. IDL INTERNATIONAL'S LIABILITY LIMITED TO THE REFUND OF LICENSE FEE.
Credit Card #:		______________________________
Billing Address:		______________________________
Expiration Date:		______________________________
Signature of Applicant:		______________________________
Date:		______________________________

Be sure to enclose a Check or Money Order payable to IDL International, Inc. for $86.55 (see table below), or complete the credit card information in the application, and include one (1) passport style photo.

We accept payment in U.S. funds only. No checks on foreign banks will be accepted.
Acceptable payment methods include:

• International Money Order
• American Express Travelers Checks (stating U.S. Dollars)
• U.S. Postal Money Order
• MasterCard, VISA Or American Express
  We prefer payment by check or money order; however, credit cards will be accepted for YOUR convenience. All credit card transactions will be billed an additional $5.00 per license to offset processing fees.

Use this Checklist to avoid delays.

Appropriate Payment Enclosed	_______
Passport Style Photo Enclosed	_______
Copy of Current Valid Driver's License Enclosed	_______
Optional Delivery by 2 Day Air (IDL's are shipped by regular mail at no additional charge.) Available Only for US Destinations, Monday through Friday Add $18 (Total for License, Tax and Delivery $104.55)	_______
Optional Overnight Delivery (IDL's are shipped by regular mail at no additional charge.) Available Only for US Destinations, Monday through Friday Add $25 (Total for License, Tax and Delivery $111.55)	_______
Completed Application with Signature Enclosed	_______

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