Print this form, complete in full and mail completed form to:
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click on the FedEx - UPS - Airborne button below. |
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| Last name: | ______________________________ | |
| First Name: | ______________________________ | |
| Current Driver's License Address: |
______________________________ ______________________________ ______________________________ ______________________________ | |
| Address to Mail IDL: |
______________________________ ______________________________ ______________________________ ______________________________ | |
| Email Address: | ______________________________ | |
| Telephone (For use with this order.): | ______________________________ | |
| Passport #: | ______________________________ | |
| Passport Date of Issue#: | ______________________________ | |
| Passport Place of Issue: | ______________________________ | |
| Place of Birth: | ______________________________ | |
| Date of Birth: | ______________________________ | |
| Nationality: | ______________________________ | |
| Driver's License #: | ______________________________ | |
| State of Issue: | ______________________________ | |
| Date of Issue: | ______________________________ | |
| Expires On: | ______________________________ | |
| 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.
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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 the correct amount (see table below), or complete the credit card information in the application, and include one (1) passport style photo.
| One (1) year license | $19.95 + tax and/or regular shipping & handling = | |
| Two (2) year license | $29.95 + tax and/or regular shipping & handling = | |
| Three (3) year license | $39.95 + tax and/or regular shipping & handling = | |
| Five (5) year license | $49.95 + tax and/or regular shipping & handling = | |
Note: As a convenience, our clients usually prefer multi-year licenses. Please be advised that some countries require that you apply for the local license after one (1) year of continuous residency! | ||
We prefer payment by check or money order; however, credit cards (American Express, Discover, MasterCard or VISA) 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 |
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| Optional Overnight Delivery (IDL's are shipped by regular mail at no additional charge.) Available Only for US Destinations, Monday through Friday Add $25 |
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| Completed Application with Signature Enclosed |
Copyright © 2009 IDL International, Inc., All Rights Reserved
Updated: May 13, 2009