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Interline Paris
Cell Phone Rentals Rental Form
Please Print
Clearly
Interline company through which you
are booking
______________________________________________
Your 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 this
interline company.
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