Deliver / Mail / Drop-off to a location that is closest to your jurisdiction:

2200 Pennsylvania Ave NW 45 West 34th St. Suite 703 323 Geary Street, # 815
4th Floor E. New York, NY 10001 San Francisco, CA 94102
Washington, DC 20037 Toll Free 1-877-203-2551 Toll Free 1-877-917-7705
MANDATORY ORDER FORM Toll Free 1-877-400-0235
Fax 1-866-835-4372
'VMMZ
DPNQMFUF
UIJT
GPSN
BOE
TVCNJU
XJUI
ZPVS
BQQMJDBUJPO
1SPDFTTJOH
XJMM
CF
IFME
JG
JUFNT
BSF
NJTTJOH
PS
JODPNQMFUF
4FDUJPO

$0/5"$5
*/'03."5*0/

/".& 5&-&1)0/&

&NBJM

BEESFTT

XJMM

CF

VTFE

UP

QSPWJEF

WJUBM

QBTTQPSU

USBDLJOH

&."*- JOGPSNBUJPO
BT
XFMM
BT
QFSJPEJD
USBWFM
VQEBUFT

QBZNFOU
JOWPJDF

4FDUJPO

5:1&
0'
7*4"
50
#&
130$&44&%
DPNQMFUF
NVMUJQMF
MJOFT
JG
BQQMZJOH
GPS
NPSF
UIBO
POF
WJTB

7*4"
 $045




)*/5
-*45
"#07&
5)&
$06/53:
'03
"11-*$"5*0/
$"5&(03:
UPVSJTU
CVTJOFTT
XPSL
FUD


5:1&
TJOHMF
EPVCMF
PS
NVMUJQMF

0'
7*4"

7*4"
 $045




)*/5
-*45
"#07&
5)&
$06/53:
'03
"11-*$"5*0/
$"5&(03:
UPVSJTU
CVTJOFTT
XPSL
FUD


5:1&
TJOHMF
EPVCMF
PS
NVMUJQMF

0'
7*4"

7*4"
 $045




)*/5
-*45
"#07&
5)&
$06/53:
'03
"11-*$"5*0/
$"5&(03:
UPVSJTU
CVTJOFTT
XPSL
FUD


5:1&
TJOHMF
EPVCMF
PS
NVMUJQMF

0'
7*4"

7*4"
 $045




)*/5
-*45
"#07&
5)&
$06/53:
'03
"11-*$"5*0/
$"5&(03:
UPVSJTU
CVTJOFTT
XPSL
FUD


5:1&
TJOHMF
EPVCMF
PS
NVMUJQMF

0'
7*4"

505"-
7*4"
$045 


#09
"
46.
61
"#07&
#09&4

4FDUJPO

015*0/4
'03
3&563/*/(
:063
1"441035
50
:06

1-&"4&
.",&
0/&
4&-&$5*0/
1JDLVQ
BU
UIF
PGGJDF

 'FE&Y
0WFSOJHIU
64
























505"-
3&563/
$045 
'FE&Y
0WFSOJHIU
$"/




#09
#
"EE

GPS
4BU
EFMJWFSZ
4PNF
SVSBM
MPDBUJPOT
DPTU
NPSF

1SFQBJE


 *OUFSOBUJPOBM



3FUVSO
"EESFTT
*'
1":*/(
'03
3&563/
4PNF
SVSBM
MPDBUJPOT
DPTU
NPSF

/BNF

"EESFTT "CTPMVUF
MBUFTU
EBUF
CZ

XIJDI
ZPV
NVTU
IBWF
ZPVS

$JUZ 1PTU
$PEF EPDVNFOU
SFUVSOFE
UP
ZPV

5IJSE
1BSUZ
1JDLVQ

1SPWJEF
/BNF

4FDUJPO

1":.&/5
'03
:063
7*4"
"11-*$"5*0/4

1-&"4&
4&-&$5
:063
13&'&3&%
.&5)0%
7JTB .BTUFS$BSE
".&9

*OPGGJDF
$BTI 8JSF
5SBOTGFS
1BZ1BM

1":.&/5
/05&4
8JSF
USBOTGFST
BSF
BWBJMBCMF
GSPN
BCSPBE
4VDI
NBZ
CF
DBSSJFE
PVU
UISPVHI
.POFZ
(SBN
8FTUFSO
6OJPO
PS
48*'5
#BOL

5SBOTGFS
JO
$"/"%*"/
'6/%4
"EE
B
TFSWJDF
GFF
PG

GPS
8JSF
5SBOTGFS
4FSWJDF

$BSE
/VNCFS &YQJSZ $7$


46#505"-

"%%
#09
"#


$BSE
#JMMJOH
"EESFTT

$JUZ 1PTU
$PEF

505"-
4&37*$&
$)"3(&
50
#&
"11-*&%
50
.:
$3&%*5
$"3%
03
05)&3
1":.&/5
.&5)0%


#Z
VTJOH
UIF
TFSWJDFT
PG
7JTB
$FOUFS
*
BVUIPSJ[F
UP
IBOEMF
NZ
QFSTPOBM
JOGPSNBUJPO
BOE
NZ
QBTTQPSUPUIFS
EPDVNFOUT
BOE
QBSUJDVMBST

UP
B
GPSFJHO
EJQMPNBUJD
NJTTJPO
JO
$BOBEB

64
GPS

UIF
QVSQPTF
PG
BDRVJSJOH
B
WJTB
PS
PUIFS
DPOTVMBS
EPDVNFOU
#Z
TJHOJOH
UIJT
EPDVNFOU
*
BDDFQU
JO
XIPMF
UIF
GPMMPXJOH
UFSNT
DPOEJUJPOT
BOE
MJNJUBUJPOT
7JTB
$FOUFS
DBO
OPU
BOE
EPFT
OPU

HVBSBOUFF
B
WJTB
XJMM
CF
JTTVFE
CZ
B
EJQMPNBUJD
PGGJDF
BT
UIJT
JT
UIF
TPMF
QSFSPHBUJWF
PG
UIF
GPSFJHO
HPWFSONFOU
7JTB
$FOUSF
EPFT
OPU
CFBS
MJBCJMJUZ
GPS
UIF
TBGFUZ
PS
TFDVSJUZ
PG
ZPVS

QBTTQPSUEPDVNFOU
PODF
UIF
QBTTQPSU
IBT
FOUFSFE
UIF
EJQMPNBUJD
HSPVOET
PS
QBTTFE
JOUP
UIF
DPOUSPM
PG
B
DPVSJFS
GPS
SFUVSO
EFMJWFSZ
7JTB
$FOUFS
JT
OPU
MJBCMF
GPS
BOZ
TUPMFO
PS
MPTU

QBTTQPSU
BOE
IBT
OP
MJBCJMJUZ
GPS
MBUF
EFMJWFSZ
PG
QBTTQPSUT
BOE
WJTBT
BOE
7JTB
$FOUFS
EPFT
OPU
CFBS
BOZ
GJOBODJBM
MFHBM
PS
PUIFS
PCMJHBUJPOT
XIBUTPFWFS
GPS
DMJFOU
UJDLFU
PS
PUIFS
QVSDIBTFT

EPXO
QBZNFOUT
CPPLJOHT
PS
BOZ
LJOE
PG
USBWFM
PS
PUIFS
BSSBOHFNFOUT
UIBU
XFSF
EPOF
QSJPS
UP
UIF
JTTVBODF
PG
WJTB
PS
XIBU
NBZ
CF
BGGFDUFE
CZ
QSPDFTTJOH
UJNFT
PS
EFOJBM
PG
WJTB
7JTB

$FOUFS
EPFT
OPU
CFBS
BOZ
GJOBODJBM
PS
PUIFSXJTF

SFTQPOTJCJMJUZ
GSPN
JTTVFT
BSJTJOH
GSPN
FSSPST
BOE
JNQSPQFS
JTTVBODF
PG
WJTBT
CZ
UIF
DPOTVMBUFT
GPS
MPTTFT
SFTVMUJOH
GSPN
BOE
EPFT
OPU

DPNQFOTBUF
GPS
USBWFM
FYQFOTFT
BSJTJOH
GSPN
BOZ
PG
UIF
BCPWF
7JTB
$FOUFS
XJMM
DIBSHF

QFS
QBTTQPSU
GPS
DBODFMMFE
WJTB
BQQMJDBUJPOT
BGUFS
UIF
EPDVNFOUT
IBWF
CFFO
SFDFJWFE
GPS

QSPDFTTJOH
*
VOEFSTUBOE
BOE
GVMMZ
BDDFQU
UIF
BCPWF
NFOUJPOFE
#:
4*(/*/(
#&-08
:06
"(3&&
"#07&
$0/%*5*0/4

$)"3(&4
130$&44&%
50
:063
$"3%
*'
1":.&/5
*4
#:

$3&%*5
$"3%

6/4*(/&%
'03.4
8*--
/05
#&
130$&44&%

4JHOBUVSF $VSSFOU
%BUF
 REGISTRATION WITH US EMBASSIES

The world unfortunately is not a safe place. When you travel abroad and surrounded by
foreign environment many situations, in some cases hostile may arise, like terrorist
attacks, banditry or even war. Plus there are natural disasters and catastrophes.

Visacenter.us can help you to make your contact information in the country where you
are traveling available to US Embassy/Consular officials responsible for helping
Americans abroad.

What is the registration?

Upon your request the Department of State in Washington DC will be provided with
your major contact information in the country of your travel. In the event there is a need
to contact Americans to offer urgent advice or evacuation during a natural disaster or
civil unrest, US Embassy/Consulate contacts all registered US citizens in that country.
U.S. consular officers assist Americans who encounter serious legal, medical, or
financial difficulties.

OFFICIAL REGISTRATION IS RECOMMENDED for ALL Americans traveling

abroad for business or pleasure, or residing abroad, irrespectively of the length of travel.

It is best to register BEFORE the start of the trip.

What should I do to register?

To register, you are required to fill-out short US Embassy Registartion Request Form
with your basic contact and travel information.

What is the cost?

The cost of peace of mind is just USD10.00 per person.

Yes, I want to register and agree that Visacenter.us submits on my behalf my data
exactly as provided by myself on the form for US Embassy Registartion service by The
Bureau of Consular Affairs of the US Department of State and agree that for this act
the charge of CAD 10.00 be added to the total payment for my visa services order.

Signature: __________________________________ Date: ____________________

Next step:
Please, fill-out the following US Embassy Registration Request Form
 US EMBASSY REGISTRATION REQUEST FORM
BASIC INFORMATION

FIRST NAME
LAST NAME
DATE OF BIRTH GENDER M/ F
MONTH DAY YEAR

CITIZENSHIP

PASSPORT

PASSPORT NUMBER
PASSPORT DATE OF ISSUE
MONTH DAY YEAR

PASSPORT DATE OF EXPIRATION

MONTH DAY YEAR

HOME RESIDENCE

ADDRESS 1
ADDRESS 2
CITY STATE
ZIP CODE CONTACT EMAIL ADDRESS

DESTINATION INFORMATION

COUNTRY
PURPOSE OF VISIT
DESTINATION DATE OF ARRIVAL
MONTH DAY YEAR

DESTINATION DATE OF DEPARTURE

MONTH DAY YEAR

TYPE of RESIDENCE HOTEL HOME SCHOOL OTHER

ADDRESS at DESTINATION
CITY
PHONE NUMBER AT DESTINATION
Note: If you have more than one destination please, provide details on a separate sheet of paper.

DATE: SIGNATURE:
MONTH DAY YEAR
Thailand Visa Requirements

INCLUDE THE FOLLOWING DOCUMENTS:

Original, signed United States passport with at least 6 months of remaining validity.
Note: US
passport holders going on tourism for less than 30 days, DO NOT require
to obtain visa in advance. If for any reason you are planning to stay
longer than 30 days, apply for tourist visa. Processing times may be longer for non-US passport
holders applicants.
Passport-type photographs: 2
Filled out and signed Thailand visa application form.
Itinerary. Copy of round trip tickets or confirmed itinerary.
Hotel reservation.
Bank statement. Copy of the applicant's most recent monthly bank
statement showing proof of sufficient funds ($750 per person or $1500
per family; for multiple entry - $7000). The statement must clearly show the applicant's name as the
account holder, the balances of the accounts, and the date of the
statement.

Persons with dual citizenship, one of which is US, must apply with their US passports only.

Applicants with other than US passports must provide the copy of the document confirming their
current resident status in USA
Note: Applicants with travel document of any country and passports of Afghanistan, Algeria,
Bangladesh, Cambodia,
China, Cuba, Egypt, India, Iran, Iraq, North Korea, Lebanon, Libya,
Nepal, Nigeria, Pakistan, Palestine, Saudi Arabia, Sri Lanka, Sudan,
Syria, Vietnam, Yemen
must contact our office for the list of the required documents before applying for visa

For Business Visa

Business Letter. A business letter from the sending company in the US. The letter should be printed on
the company letterhead stationery, addressed to the Embassy of Thailand, Visa Section, Washington
DC, and signed by a senior manager (an equivalent to Vice-President or above). The business letter
must adhere to the following guidelines:
- Briefly introduce the applicant (please specify employment status/position held in the company by
applicant).
- State the nature of the business to be conducted (ie. business meetings, contract negotiations, etc.)
and the names and addresses of companies to be contacted in Thailand.
- Specify the type and desired validity of the visa (ie. multiple entry business visa).
- Guarantee of sufficient funds for travel.
Business Invitation. A business invitation letter from the sponsoring company in Thailand. The letter
should be printed on company letterhead stationery, addressed to "The Consulate of Thailand, Visa
Section", and signed by a senior manager (an equivalent to Vice-President or above). The business
letter must adhere to the following guidelines:
 - Briefly introduce the applicant (please specify employment status/position held in the company by
applicant).
- State the nature of the business to be conducted (ie. business meetings, contract negotiations, etc.)
and the names and addresses of companies to be contacted in Thailand.
- Specify the type and desired validity of the visa (ie. a one year multiple entry business visa).

Thailand Visa Pricing (includes Embassy and handling fee)

Processing Period
Visa
6 Biz Days 3 Biz Days 1 Biz Days
Tourist single entry up to 60
$115.00 $135.00 $155.00
days
Tourist multiple entry up to
$275.00 $295.00 $315.00
180 days
Non-Immigrant single entry $155.00 $175.00 $195.00
Non-Immigrant multiple entry
$275.00 $295.00 $315.00
1 year
*Above prices include Consular / Embassy fee, Visa Center fee. No other processing fees will be added.
 Please Indicate Type of Visa Requested

Diplomatic Visa
Please attach Official Visa
2 photographs Courtesy Visa
taken within APPLICATION FOR VISA Non-Immigrant Visa
the last 6 months
(2x2 inches)
Royal Thai Consulate-General Tourist Visa
Transit Visa
351 E 52nd Street, New York, NY 10022
Visa Hours: Monday - Friday(9.00 am.-12.30 pm.)
Tel.(212)754-1770 Fax.(212)754-1907
www.thaiconsulnewyork.com Number of Entries Requested _____

Mr. Mrs. Miss

First Name Middle Name Family Name (in BLOCK letters)

Former Name (if any) Countries for which travel document is valid

Nationality
Proposed Address in Thailand
Nationality at Birth

Birth Place Marital Status

Date of Birth Name and Address of Reference in U.S.A.

Type of Travel Document

No. Issued at Tel./Fax.

Date of Issue Expiry Date Name and Address of Reference in Thailand

Occupation (specify present position and name of employer)

Tel./Fax.
I hereby declare that I will not request any refund from
Current Address my paid visa fee even if my application has been declined.
Signature Date
Attention for Tourist and Transit Visas Applicants
Tel. E-mail
I hereby declare that the purpose of my visit to Thailand
is for pleasure or transit only and that in no case shall I engage
Permanent Address (if different from above)
myself in any profession or occupation while in the country.
Signature Date

Tel. FOR OFFICIAL USE mfavisaform10092007

Names, dates and places of birth of minor children (if accompanying) Application/Reference No.
Visa No.
Type of Visa:
Diplomatic Visa Official Visa Courtesy Visa
Date of Arrival in Thailand Non-Immigrant Visa Tourist Visa Transit Visa
Traveling by Category of Visa:
Flight No. or Vessels name Number of Entries:
Single Double Multiple Entries
Duration of Proposed Stay
Date of Issue Fee
Date of Previous Visit to Thailand
Expiry Date
Purpose of Visit: Tourism Transit Documents Submitted
Business Diplomatic/Official
Other (please specify)
Authorized Signature and Seal