Print this form, complete in full and mail completed form to:

IDL International, Inc. P.O. Box 80 Bryantsville, Kentucky 40410

NOTE: Do Not Ship, Fed-Ex, DHL, UPS, Airborne, etc. to our P.O. Box., click on the FedEx - UPS - Airborne button below.

International Driver's License Application

This application form should not be used by travelers planning to drive in the United States.
		Please Type or Print Clearly
1.	Last name:	______________________________
2.	First Name:	______________________________
3.	Current Driver's License Address:	______________________________ ______________________________ ______________________________ ______________________________
4.	Address to Mail IDL:	______________________________ ______________________________ ______________________________ ______________________________
5.	Email Address:	______________________________
6.	Telephone (For use with this order.):	______________________________
7.*	Passport #:	______________________________
8.*	Passport Date of Issue#:	______________________________
9.*	Passport Place of Issue:	______________________________
10.	Place of Birth:	______________________________
11.	Date of Birth:	______________________________
12.	Nationality:	______________________________
13.	Driver's License #:	______________________________
14.	State of Issue:	______________________________
15.	Date of Issue:	______________________________
16.	Expires On:	______________________________
17.	Applicant Signature:	______________________________
* Not Mandatory
I understand that this international driver's license is in no way intended to replace a suspended or revoked driver's license from the United States or any other country, and I am not applying for this international driver's license to use as such. I do further understand that this international driver's license will become null and void if a license is issued and the above is the actual Intention of the applicant. I further release IDL International, Inc. from any and all said liability caused by any misrepresentation on my part. I additionally release IDL International, Inc. from any and all liability caused by applicant's failure to comply with any local, state, national, or international law. IDL INTERNATIONAL'S LIABILITY LIMITED TO THE REFUND OF LICENSE FEE.
Credit Card #		______________________________
Billing Address		______________________________
Expiration Date		______________________________
Signature of Applicant:		______________________________
Date:		______________________________

Be sure to enclose a Check or Money Order payable to IDL International, Inc. for the correct amount (see table below) and include one (1) passport style photo.

We prefer payment by check or money order; however, credit cards (American Express, Discover, MasterCard or VISA) will be accepted for YOUR convenience. All credit card transactions will be billed an additional $5.00 per license to offset processing fees.

Use this Checklist to avoid delays.

Appropriate Payment Enclosed	_______
Passport Style Photo Enclosed	_______
Copy of Current Valid Driver's License Enclosed	_______
Delivery by 2 Day Air Available Only for US Destinations, Monday through Friday Add $20	_______
Overnight Delivery Available Only for US Destinations, Monday through Friday Add $30	_______
For international express return, we will need your complete shipping address including postal code for a quote. Remember international return by regular air mail is included in the  IDL cost.
Completed Application with Signature Enclosed	_______

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This page created and maintained by J. Brau Associates.
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Copyright © 2010 IDL International, Inc., All Rights Reserved

Updated: January 16, 2010

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