801 West Bay Drive, Suite 313, Largo, FL 33770

Tel: (727) 683-1467

www.unionvisa.us
Email: info@unionvisa.us
ORDER FORM
for Russian Tourist visa
This order form is to advise Union Visa LLC of the type of visa you are requesting and the return address for the completed documents to be
mailed to. In order to properly process your visa, please include this form with your Visa application request.
*Name of main applicant: Total number of applicants:

*Email: *Contact phone number:

How did you find about us (Please specify name of website, search engine, social media, or name of other resource)

Visa application form info (we use this info to access your application, make required changes and put
information of invitation that we will order for you)

*Application ID

*Password
If you have more than one applicant - use Special Notes and Comments below to put additional Application IDs and Passwords

*Service selected:
Single Entry 30-day Double Entry 30-day Multiple Entry 3-year (US citizens only)
□ $233 (16-20 business days) □ $287 (16-20 business days) □ $448 (16-20 business days)
□ $258 (11-15 business days) □ $312 (11-15 business days) □ $498 (11-15 business days)
□ $348 (9-10 business days) □ $402 (9-10 business days) □ $598 (9-10 business days)
□ $448 (8 business days) □ $556 (8 business days) □ $798 (8 business days)
□ $548 (5-6 business days) □ $656 (5-6 business days) -
□ $748 (4 business days) □ $856 (4 business days) -

*Return my documents to: Name:

Address:

City, State and Zip

*I expect my Passport(s) back by (date)

Payment method: □Credit card (e-mail invoice) □Check □Money Order

(+3.5% surcharge)
Special Notes and Comments: _____________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
StatementPlease
of Non-Liability: Union Visa
note: The Consulate of LLC is not
Russia justresponsible for delays
announced prices or decisions
and terms changesbythat
thewill
consulates,
occur in theembassies, travel
beginning of agents, courier
March.
Prices listed below are not final and subject to change. All recently received orders will be revised to reflect the price changes,
services, foreign governments, various records departments, as well as uncontrollable events such as force majors and weather conditions. balances
will be requested from customers. Please call for info at 727-683-1467
I understand that Consulate can delay or deny passports or visas. Union Visa LLC will not be held liable for any financial loss occurred by
Consulate or Courier delay in the process. By submitting this application, you agree to these terms.

_______________________Signature of Main Applicant* For Union Visa use:

Received date
_______________________Date Order due date
Comments