LegalPassport Order Form

Passport Order Form

Legal Passport Expediting Service
Applicant Name*

First NameLast Name
Parent or Guardian Name (1)

First NameLast Name
Parent or Guardian Name (2)

First NameLast Name
Date of Birth*

MonthDayYear
Passport for Child? (Under 16)*

NoYes
Phone Number*
Enter Phone Number with Area Code.
Email*
example@example.com
Shipping Address (No P.O) Boxes

Street Address

Street Address Line 2

CityState

Zip Code
Travel Destination*
Trip Departure Date*

MonthDayYear
New Passport Applicants and Child Applicants must be traveling within two weeks to expedite - under Passport Agency Regulations. New Passport Applicants who need a Visa can be traveling within 4 weeks and expedite. Adult Passport Renewals can be expedited for any travel date.
Passport Sales Agent
Did you Speak with Passport Specialist?
Last 4 of SSN

Passport Order Type

New Adult Passport

$499.00 Service Process Time.
Item subtotal:$0.00

Renewal Adult Passport

$499.00 Service Process Time.
Item subtotal:$0.00

Lost / Stolen Adult Passport

$499.00 Service Process Time.
Item subtotal:$0.00

New Child Passport

$499.00 Service Process Time.
Item subtotal:$0.00

Enter coupon

Subtotal

$0.00

Shipping

$0.00

Total

$0.00

Legal Passport Expediting Fees are Based on Speed of Days Processing and is Measured by Business Days and does not include Weekends, Holidays, or the Day We Receive Your Materials.
By Placing this order you agrees to Legal Passport terms and Conditions to use legal Passport Services LLC as your Passport Expedited Service. Also agree that any and all payments to Legal Passport Services LLC is Non-Refundable Even if you change your mind after order. *

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Agreement of Services Signature
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