Applicant Information
Name:
______________________________________________________
(last) (first) (middle)
Birthday:______________________________________________
(month) (day) (year)
Visa Expiration Date_______________________________________
(month) (day) (year)
Current Status: ___________________(B-2, J-1, F-1, H1B)
Country of birth:________________________________________
Marital Status: Married Single (circle one)
Address in USA
__________________________________________________
__________________________________________________
__________________________________________________
Foreign Address (Permanent Residence)
__________________________________________________
__________________________________________________
__________________________________________________
Email_____________________________________________
Telephone in USA___________________________________
Mail completed information to:
Your Travel Agent/Visa Extension
7321 Waukegan Rd.
Niles, IL 60714-4321
If you have questions, please call:
(800) 841-7353 or
(847) 647-7750
Checklist:
__This Application
__Passport Copies
1) Picture Page in Passport
2) Address Information in Passport
3) USA Visa in passport
__Copies of all I-94 cards
__Copies of all DS-2019 (J-1 only)
__Last 3 months of bank statements or I-134
__Completed Application
__Letter for visa extension(URGENT INFO)
READ HERE OR YOU MIGHT BE DENIED!!!!!
__Fee: $445 regular processing
$495 urgent processing within 30days
$545 EXpress processing within 14days
$50 each additional family member
__Copy of return airline ticket (now mandatory
for all applicants, regardless of status) We
have a program to assist you with your
ticket. Ask us for help.
For J-1 Visa Holders:
__Copy DS-2019
__Name of last employer, address and salary