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Paris Cell Phone Rentals
Rental Form
Please Print Clearly
Client Last Name
______________________________________First
Name____________________________
Address
______________________________________________________________________________
Address Line
Two_______________________________________________________________________
City _____________________________State or
Province_____________________Country________________
Telephone at
Home________________________________CELL
Phone________________________________
Fax
_____________________________________________email
____________________________________
Scheduled day of departure from your home
________________________
Scheduled arrival day back
home_________________________________
Your charge will begin on your scheduled
departure day and end the day after your scheduled arrival
day back home. You will be allowed two extra days to
overnight the telephone back to our office. If the
telephone is not in our hands within two days following the
return day you will be charged at $10 per day for overtime.
Sample Depart June 1, Return June 7 = 7 days Phone charge
would be for one week Phone due back in our office June 9.
Overtime charges begin June 10.
There is a one week minimum rental. Extra
days are at $5 per day.
Payment by Credit Card Card # (Visa
and MasterCard Only) ____________ ______________
______________ -______________
Expiration Date _______month
__________year
Telephone rental is requested for
______________days (include day of departure and day of
arrival home)
Cost calculated by client
_______________________
Security/damage
deposit $150 This
security deposit is returned following the return of the
telephone. Insure the return.
Insurance Option @ $6 per day
________________ Address credit card
bill is sent if different than the address above.
Shipping and
Handling $25
Total
___________________
I have read this form and agree to the
terms.
Signature_______________________________________________
Please fax this form to 1 973 729 2940
or mail to American Dream Vacations, 412 East Shore Trail,
Sparta, NJ 07871 USA
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