Bucktown Visas & Passports, Inc.

Passport Order Form
Please FedEx all documents to:  
Bucktown Visas & Passports, 2048 N. Stave St., Chicago, IL  60647-4025

*Please fill out only the fields that pertain to your order.  You can just leave anything else blank. 

1. The government fees listed above for a new passport, a child's passport, or a lost, stolen, or damaged passport can be paid by personal check or money order, payable to "U.S. Department of State:" You will be giving this payment to the acceptance agent that you must go to, so that he/she can enclose it in your sealed envelope that you'll be shipping to us.
2. The separate government execution fee of $25.00 that is charged for a new passport, a child's passport, or a lost, stolen, or damaged passport should already have been collected by your acceptance agent (local post office, county clerk's office) where you made your personal appearance. The acceptance agent keeps this $25.00. It does not go into your sealed envelope.
3. For your convenience, for a passport renewal or name change, or for extra visa pages added to your passport, there are two ways to pay: 1) You can send us a personal check or money order for the proper amount of the government fee listed above, payable to "U.S. Department of State." 2) You can pay the full amount of your government fees and your Bucktown Visas & Passports expediting and return shipping fees with a company check or money order (payable to Bucktown Visas & Passports, Inc.) or by credit card in just one simple payment. (We're sorry, Bucktown Visas & Passports, Inc. cannot accept personal checks.)
4. NOTE: The expediting and return shipping fees that go to Bucktown Visas & Passports, Inc. are in addition to your government fee and government execution fee, which are listed above.
5. This web site is 128-bit encrypted for your own security protection, which you can see by clicking on the "Network Solutions" seal at the very top of this page. This means that any personal data you choose to fill in online is protected.  However, if you still do not feel secure in filling out your credit card information, you may fill out this order form partially online, if you wish, and then print it out in order to hand print, legibly, and in ink, your credit card information, if paying with a credit card. Please enclose a copy of this order form with all of your other shipped documents, so that we do receive your credit card information.
6. After you print this out, if you would like us to get a head start on your documents, click on the "Send" button, and this order form will go right to Bucktown Visas & Passports, Inc., email address (with everything filled in except your credit card information, if you chose not to fill that part in. We'll receive that with the copy of the order form you ship with your documents.) We can then get started on your documents because we will know before the documents actually arrive whether we will be doing a passport renewal with 3-day business service or a new passport with 48-hour service, etc.  (Note: If you click on the "Send" button before you print out the order form, it will still go directly to us, however, you will have to type in all of your information again because the form will then go back to being blank.  So please print the order form first.)

Thanks for your business. We truly appreciate it!