TRAVEL VISA PRO ORDER FORM Call us for assistance – 866-378-1722 www.TravelVisaPro.com Fax – 866-511-7599 [email protected] How to fill out Brazil Visa application form online: For Concierge For free DO‐IT‐YOURSELF BRAZIL VISA APPLICATION SERVICE* filling online Brazil Visa app, go to the pages #2‐4 starting on page #5 *-35$ per application fee will apply In San Francisco: In Washington DC: In New York: In Houston, TX: In Los Angeles: In Seattle: In Chicago: 2021 Fillmore St 1802 Vernon St NW 167 Madison Ave., Ste 201 3401 Louisiana St, Ste 130 1055 W. 7th St.,Ste 3338 506 2nd Ave., Ste 1404 141 W Jackson Blvd, Ste 3401 San Francisco, CA 94115 Washington, DC 20009 New York, NY 10016 Houston, TX 77002 Los Angeles, CA 90017 Seattle, WA 98104 Chicago, IL 60604 Local: (415) 229-3210 Local: (202) 684-7150 Local: (212) 380-7866 Local: (713) 936-0773 Local: (310) 878-2590 Local: (206) 855-5185 Local: (312) 800-1268 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] TRAVEL VISA PRO ORDER FORM Call us for assistance – 866-378-1722 www.TravelVisaPro.com Fax – 866-511-7599 [email protected] BRAZIL VISA APPLICATION CONCIERGE SERVICE* Travel Visa Pro will review your documents and prepare application for you to sign within three hours from receipt of your forms. Requests received outside business hours (5AM PST – 5PM PST Monday-Friday) will be completed the following business morning. DO NOT MAIL YOUR HANDWRITTEN APPLICATION: Wait until you receive your completed digital Brazil Visa application (click to see the sample: http://www.travelvisapro.com/pdf_templates/brazil_visa_digital_sample.pdf). Please print it, SIGN IT and then mail to Travel Visa Pro with the rest of the documents. To engage in this service, please: Step: #1 – Complete the following 3 (THREE) pages to sign up Step: #2 – Make a copy of your passport vital pages (signature and photo page) Step: #3 – Email to [email protected] or fax to 1-866-511-7599 the following FOUR pages: a) Copy of this payment (see below) b) Copy of your passport c) Copy of handwritten application (1page) * - If you do not wish to sign up for $35 concierge service, please do application yourself on Brazilian Government website click here: https://scedv.serpro.gov.br/frscedv/index.jsp and mail us signed corresponding protocol receipt along with the rest of the paperwork. Requested Processing time _________ (in business days) Documents must be in my possession by: ______________ (mm/dd/yyyy) PLEASE RETURN THE COMPLETED FORM FOR ME TO SIGN VIA: □ EMAIL: ___________________________________ □ FAX: ___________________________________ PAYMENT METHOD FOR APPLICABLE FEES: $35.00 per application *______ (# of applications) = ________________(grand total) ____ Please add $25 for FedEx Priority Overnight shipping label from me to Travel Visa Pro. Will be emailed to you. I hereby authorize Travel & Visa Pro to charge the cost of its professional visa and passport services to the following card. I agree to pay this amount to my credit card company and agree to terms and conditions. I understand that requirements, fees, and processing times are subjec to change without prior notice and all fees are non-refundable. Name on Card:__________________________________ Signature:_________________________________ Credit Card #:_____________________________ Expiration Date: ________ / _______ Security Code: ________ mm yyyy Billing Address: _________________________________________________________________________________ Shipping Address: _______________________________________________________________________ □ Please bill the remainder of the charges to my card on file. □ Shipping Address is the same as billing address In San Francisco: In Washington DC: In New York: In Houston, TX: In Los Angeles: In Seattle: In Chicago: 2021 Fillmore St 1802 Vernon St NW 167 Madison Ave., Ste 201 3401 Louisiana St, Ste 130 1055 W. 7th St.,Ste 3338 506 2nd Ave., Ste 1404 141 W Jackson Blvd, Ste 3401 San Francisco, CA 94115 Washington, DC 20009 New York, NY 10016 Houston, TX 77002 Los Angeles, CA 90017 Seattle, WA 98104 Chicago, IL 60604 Local: (415) 229-3210 Local: (202) 684-7150 Local: (212) 380-7866 Local: (713) 936-0773 Local: (310) 878-2590 Local: (206) 855-5185 Local: (312) 800-1268 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] www.TravelVisaPro.com Brazil Visa Concierge Form 1. Passport Information Surname: __________________ First and middle names: ___________________ Place of birth (City, State, Country): _______________________________________ Sex: □ Male □ Female Date of Birth: _____/______/______ Current Nationality: _________________ Previous Nationality: ______________ Passport number: ___________________________ Issue Date: _____/_____/_____ Expiry Date: ____/_____/_____ Place of issue: _______________________________________________________ 2. Travel Information: Purpose of Visit: □ Tourism □ Business □ Other: _______________________ Date of entry: _____/_____/______ Duration of stay: ________ days Address of stay in Brazil: _____________________________________________________ Name of hotel, contact or company in Brazil: ____________________________________ Phone # of host. hotel, contact or company in Brazil: ____________________________________ Have you ever been to Brazil before? □ Yes □ No If yes, provide details as to when, where and why you were there: ____________________ _____________________________________________________________________ 3. Personal Information: Home Address: ______________________________________________________ Home Phone: _______________________________ Email Address: ______________________________ Marital Status: □ Married □ Single Occupation (if in school or minor – put “STUDENT”): ___________________________________________ Current employer (if in school – put School info): ____________________________________________ Business/School address: ____________________________________________ Business/School phone: ______________________________________________ Mother’s Full name (even if deceased) and Country of Birth: ________________________________ Father’s Full name (even if deceased) and Country of Birth: ________________________________ Business phone: ______________________________________________ In San Francisco: In Washington DC: In New York: In Houston, TX: In Los Angeles: In Seattle: In Chicago: 2021 Fillmore St 1802 Vernon St NW 167 Madison Ave., Ste 201 3401 Louisiana St, Ste 130 1055 W. 7th St.,Ste 3338 506 2nd Ave., Ste 1404 141 W Jackson Blvd, Ste 3401 San Francisco, CA 94115 Washington, DC 20009 New York, NY 10016 Houston, TX 77002 Los Angeles, CA 90017 Seattle, WA 98104 Chicago, IL 60604 Local: (415) 229-3210 Local: (202) 684-7150 Local: (212) 380-7866 Local: (713) 936-0773 Local: (310) 878-2590 Local: (206) 855-5185 Local: (312) 800-1268 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] How to fill out the application form a VISA STEP BY STEP 1. Click on the following link: https://formulario‐mre.serpro.gov.br/sci/pages/web/pacomPasesWebInicial.jsf 2. If your browser gives you an error, click on continue anyway (see examples): 3. Select “Choose a language” 4. Select “Visa” 5. Read the instructions, scroll down and click “START NEW APPLICATION” to proceed to the next step 6. GENERAL DATA: ALL fields must be filled out, not only those marked with an asterisk. Incomplete forms will be returned; The information provided by the applicant is used for issuing the VISA: Be very careful when filling out the visa application form. Click “NEXT” to proceed to the next step 7. VISA DATA: All fields must be filled out. Under “Form of Exhibition of Travel Documents,” please choose: BY THIRD PARTIES and type: Travel Visa Pro. Then click “NEXT” to proceed to the next step 8. DOCUMENTS: All fields must be filled out, click “NEXT” to proceed to the next step 9. PROFESSIONAL DATA: All fields must be filled out, then click “NEXT” to proceed to the next step 10. CONTACTS: ALL fields must be filled out. The item “CONTACT IN BRAZIL” is mandatory, then click NEXT 11. BIOMETRIC DATE AND SCANNED DOCUMENTS: you will have to upload a photograph, signature and passport scan. (photograph requirement 431x531 pixels, signature 420x420 pixels, passport ONLY IN PDF) Upload your passport here 12. Declare that all information is true, by clicking on the box, then click Complete Application 13. Take a note of the “Recovery of Application code”, you will need that to check your visa status 14. Type the code that is displayed in the empty box below. (Please note it is case sensitive) then click CONTINUE. 15. Choose “Print Delivery Receipt” (document example is on the next page) 16. Attach your photo and sign 17. This will be the actual visa form, please attach the picture and sign. Once you have this protocol filled out, you will enclose it with all the other requirements for a visa and send it to TRAVEL VISA PRO .