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Bucktown Visas & Passports, Inc.

We specialize in expedited Service!

United Kingdom/Brazil/South Korea Visa Order Form
Please ship documents via FedEx to:
Bucktown Visas & Passports, 2048 N. Stave St., Chicago, IL  60647-4025


**Fill out only the fields that pertain to your order. Anything that
doesn't pertain to your order you can just leave blank.

First Name
Last Name
Date of Departure
Address Line 1
Address Line 2
City
State, Zip Code
Daytime Phone() -
E-mail Address
Ship to Address (if different than above) Line 1
Ship to Address (if different than above) Line 2
UK Consular Fees (must have been paid online already)
Brazil Consular Fees - Brazil Tourist Visa (allow 13-14 bus. days) - $130.00
Brazil Consular Fees - Brazil Business Visa (allow 13-14 bus. days) - $210.00
South Korea Consular Fees - S. Korea Business Visa, multiple entry (allow 4 bus. days) - $45.00
Form of Payment - AMEX, Visa, MC, Money Order, Company Check
Name on Credit Card
Credit Card Number
Expiration Date
Bucktown Expediting Fees - UK Visa (allow 48-72 hrs. processing: Settlement Visas may take longer) - $60.00
Brazil Visa (13-14 bus. days) - $75.00
South Korea Visa (5 bus. days) - $60.00
Bucktown Return Shipping Fees - FedEx Standard Overnight by 3PM - $25.00
FedEx Priority Overnight by 10:30AM - $27.00
FedEx 1st Overnight by 8:30AM - $57.00
Your own return Bill of Lading enclosed (type yes if applicable)
Total Amount of Consular Fees
Total Amount of Bucktown Expediting Fees
Total Amount of Bucktown Return Shipping Fees
Total Amount of Order
  1. For your convenience, you can pay the full amount of your Consular fees and your Bucktown Visas & Passports expediting and return shipping fees with a money order, cashier's check, company check (all payable to Bucktown Visas & Passports, Inc.), or by credit card in just one simple payment. We're sorry, Bucktown cannot accept personal checks.
  2. The Bucktown expediting and return shipping fees are in addition to your Consular fees.
  3. This web site is 128-bit encrypted for your own security protection, which you can see by clicking on the "Network Solutons" 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 the form out in order to hand print, legibly, and in ink, your credit card information, if paying with a credit card.   If you want us to get a head start on your order, simply click on the "Send" button at the bottom of the order form.  Your order will be received by email.  But please also print out and enclose a copy of this completed order form with all of your other shipped documents.  Thank you!

www.bucktownvisasandpassports.com

1-773-384-5375

Bucktown Visas & Passports, Inc. is not responsible for any delays, lost documents, lost passports, or any material associated with the process of passport or visa expediting. We are not responsible for the actions of the United States Passport Agency or any Consulates or FedEx. Damage compensation is not available. All requirements and fees are subject to change without prior notice. All government fees are nonrefundable. Requirements and fees are for U.S. citizens only. All Bucktown Visas & Passports, Inc. fees are payable in cash, money order, cashier's check, company check, or with Visa, Mastercard, or American Express.