This is why this site rocks, so the online tourist card is the best method for those who are cheap assholes like me, and want to save every dime possible.
I've used it on my last 8 trips, and have only paid for it twice, saved myself $60 bucks in the process, now I've only arrived via SDQ, so I'm not sure if this will work anywhere else, but it's pretty effective at SDQ.
What I did was purchased my first online tourist card back in July of 2013. When I arrived to SDQ I had the email printout, and had the email saved on my iPhone. When I got to the guy who collects them, I showed him the print out, he took a quick glance, and waved me through. I noticed he didn't even bother to input the confirmation number into the computer, or even check when I purchased it, so I made a note of that.
The next 4 times I arrived via SDQ, I had the same printout from that July 2013 trip, and all 4 times same deal, a quick glance, and a wave through. Knowing a Dominicans work ethic, to them it's not worth the 2 minute hassle of looking at the paper, and simply typing the confirmation number into their little computer kiosk, it's much easier just to wave me through. I did run into a dude who felt the need to actually make sure I didn't have a card that had expired, and got busted for it (It's valid only for one year) my next two trips I went back to my old tricks. Hopefully this info is useful to someone, save yourself $10 bucks. I also have a computer glitch I've discovered on Jetblue's system that will allow anyone to "purchase" an even more space seat ($35 dollars is what it cost tacked on to your airfare, and a couple more inches of legroom) for free. Besides my next upcoming trip, I've yet to pay the extra $35 dollars, yet fly in those seats every trip.
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