NLGS Visa Form | www.nlgshow.com

Nonimmigrant Visa Letter Request Form Required fields are marked with a red asterisk (). Please complete the following:*
*1. Passport number:
*2. Issuance City:
*3. Country:
*4. Issuing Country:
*5. Date of Issuance:
*6. Date of Expiration:
*7. Surname:
*8. First Name, Middle Name:
*9. Date of Birth:
*10. Company Name:
*11. Company Address:
*12. Business Phone:
*13. Business Fax:
*14. Email:
*15. Trade Event Name:
*16. Badge Registration Number:
17. Have you ever been issued a Visa?:
18. Year Issued:
19. Origins of Visa:
20. Type of Visa:
21. Have you ever been refused for a Visa?:
22. Year Refused:
23. Country of refusal:
24. Type of Visa refused: