IDENTIFICATION CARD PRINTABLE APPLICATION

Please print this form, fill and send it with your payment to:

KRASCAR INTERNATIONAL TRAVEL CLUB INC.
1162 St. Georges Ave., Suite # 293

Avenel NJ 07001, USA

                                                                                   For official use only

Attention: ADDITIONAL CHARGE $5.00 WILL APPLY IF YOU FILLOUT PRINTABLE APPLICATION BY HAND

NO ANY ADDITIONAL CHARGES IF YOU APPLY ONLINE AT

http://www.worlddriversclub.com/application.aspx?ln=en&type=id

PERSONAL INFORMATION

First name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Last name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Address: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

 | ___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

City: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

State/Province: |___|___|___|___|___|___|___|___|___|___|___|___|___|

ZIP/Post Code: |___|___|___|___|___|___|___|___|___|___|___|___|

Country: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

MAILING ADDRESS (LEAVE BLANK IF THE SAME)

First name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Last name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Address: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

 | ___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

City: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

State/Province: |___|___|___|___|___|___|___|___|___|___|___|___|___|

ZIP/Post Code: |___|___|___|___|___|___|___|___|___|___|___|___|

Country: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ADDITIONAL PERSONAL INFORMATION

Date of Birth: _____|_____MM______|_____DD______|_______YY

Country of Birth: |___|___|___|___|___|___|___|___|___|___|___|___|___|

City of Birth: |___|___|___|___|___|___|___|___|___|___|___|___|___|

Gender(male, female) : __F___|___M____|   (CIRCLE)

Eye color: |___|___|___|___|___|___|___|___|___|___|___|___|___|

Height: |___|___|____| CM  |___|  FEET  |___|  INCHES

CONTACT INFORMATION

E-Mail: |___|___|___|___|___|___|___|___|___|___|___|___|___|____|___|

Phone: |___|___|___|___|___|___|___|___|___|___|___|___|

LICENSE FOR:

|___|   5 YEARS NON GOVERNMENT ID CARD - $25

|___|   HANDLING THIS APPLICATION - $5

International Shipping Rates Prices

|___|  DHL International $ 45.00

|___|  DHL Express International $ 59.00

United States Shipping Rates Prices

|___|  USPS Regular Mail  $ 1.00

|___|  USPS Priority mail $ 5.00

|___|  USPS Priority mail ( trackable) $ 6.00

|___|  USPS Express mail (Within USA) $ 17.00

|___|  DHL Three Day Select (Within USA) $ 12.00

|___|  DHL Second Day Air (Within USA) $ 24.00

|___|  DHL Next Day Air (Within USA) $ 39.00

Payment method

|___|  Money order #__________________________________

|___|  Personal or Company Check #_____________________

|___|  Western Union #________________________________Sender’s First and Last name__________________________________________________

|___|  Name on the credit card|___|___|___|___|___|___|___|___|___|___|___|___|___|

Card #:|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|   Exp. date:|___|___|     |___|___|___|___|

VISA, MASTERCARD, AMERICAN EXPRESS, DISCOVERY                     MONTH                YEAR

For MasterCard or Visa the 3-digit Cvv which   |___|___|___|___|

can be found after the account number on the

Please read carefully before signing this application. I acknowledge that I may not drive, anywhere without a valued Driver's License, and that my International Driver's License is not a standalone document. It has to be accompanied by original valued driver's license. I admit not to use these documents in purpose of breaking or violating the law. Our ID cards are accepted where they are due to be accepted.

Note: Applications without payment or credit card info cannot be processed

Be sure met all requirements for International Driver License:

1. Signed Application                             |___|

2. One Photo (any sizes)                         |___|

3. Payment                                              |___|

Do not forget include in payment shipping cost and $5 for handle this application

ATTACH ONE COLOR PHOTO (ANY SIZES)

SIGNATURE HERE (WRITE CLEARLY BELOW)