Visa request form (C) - Travel Visa, US passport and legalization services

Liechtenstein

VISA REQUIRED

YOUR INFORMATION*

Nationality:

State of residence:

TEST

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SELECTED SERVICE

VISA REQUEST FORM

YOUR PERSONAL INFORMATION

NB: For quicker navigation on calendar view, please click on the month or year for more options

Your first name

Your last name

Date of Birth

Current Passport no.

Passport expiry date

YOUR CONTACT AND TRAVEL INFORMATION

Telephone no.

Your anticipated travel date

ALTERNATIVE CONTACT INFORMATION

ONLY COMPLETE THIS INFORMATION if you wish for our team to liaise with a different contact, in relation to your application.

Alternative contact full name

Alternative contact number

Alternative contact email

ADDITIONAL INFORMATION

Please provide additional information:

YOUR PAYMENT INFORMATION

This is a secure SSL encrypted payment.

All major card types are accepted.

Card type

Name on card

Bank card no.

Expiry date

CVV / Security Code
(NB: this is a 3 digit code on the back of your card or 4 digit code on the front - AMEX)

If you are a corporate client and have a pre-approved Global Visas company code for your application to be billed via invoice method - please enter below.

BILLING ADDRESS

Please provide the address where your Credit card is registered. If however you are a corporate client AND using a pre-approved Global Visas company code - you MUST list your company entity name and office address below.

Address line 1

Address line 2

City

State

Zip Code

I authorize Global Visas to send instructions to the financial institution that issued my card to take payment from my card account or request payment via invoice (pre-approved corporate clients only), in accordance with the Terms of Use

I hereby confirm I have read, understood and agree to the Terms of Use enclosed here

Liechtenstein

VISA REQUIRED

YOUR INFORMATION*

SELECTED SERVICE

VISA REQUEST FORM

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