Thailand Order Form - Monument Visa

Contact Info:

First Name*

Middle Name

Last Name*

Phone Number*

Email*

Return Shipping Address:

Receivers Name*

Receivers Phone Number*

Receivers Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Document Information/Pricing:

HOW MANY DOCUMENTS DO YOU NEED AUTHENTICATED/LEGALIZED?*

Special Instructions:

File Download:

Drag and drop your files below, If you are unable to upload your documents please email them to orders@monumentvisa.com after you have completed the order form. Please be sure to upload a scan of your passport. We are unable to submit to the Embassy without this

Drop files here or

Will you be mailing any documents to us?*

YES
NO

Subtotal: ( not including shipping cost)

Return Shipping Services:

Domestic and International Shipping Options

Return Shipping Method:

For International Shipping please choose the last option and then the country from the drop down box

International Shipping Only FedEx or DHL used

Total (Documents + Shipping)

$0.00

Payment Information:

How would you like to make payment?

Credit/Debit Card ( All Major Credit/Debit Cards Accepted)
PayPal

Credit Card

Cardholder Name

Card Details

Mailing Address:
Monument Visa Service
12587 Fair Lakes Circle Suite 331
Fairfax, VA 22033