Individual Country Rail Pass FAX Order Form

PRINT This forn and FAX to 1 877 581 6594

Questions?   

Call TERC:  Call: (808) 395-2083

e-mail:  tercmele@aol.com   SUBJECT: RAIL QUESTIONS

Check Passes:  See Specific Country Pass

 * I AM READY TO ORDER and give TERC my information:  

 Toll Free  FAX:  877 581 6594

Print this form to order by phone, fax

or e-mail TERC for e-mail Order Form.  e-mail:  tercmele@aol.com   (easier to fill out for your specific unique reservation needs)

We will follow up with phone call for Credit Card Information.

Railpass prices are good for orders received through December 29.  Prices Change 1 January
You must begin using your Rail pass within six months of the date it was issued.

I Want the following Country Rail Pass or Rail/Drive Passes
 Please read all instructions and Specific Country Pass Fine Print.  Fill in the Pass Name, class, price, and other pertinent information for the pass you want, then fill in the quantity (including extra rail and/or car days) and total cost to the right.
.

Name of Country Pass:_____________________________________________________Class:_____________

                        I want Pass Protection for : # of Passes: _______ x   $10/17 per pass: _______= Total: $________

Number of Passes being ordered: _____________ x  Price per Pass: _________= Total: $________

Extra Rail Days:_________ x $_______p/day  = $_______ X Passes _______= Total: $________

For Rail/Drive Passes:  Extra Car Days:_________ x $_______p/day = Total: $________

For Rail/Drive Passes: Additional 3rd or 4th person passes being ordered: _____________ x  Price per Pass: x  Price per Pass: _________= Total: $________ 

                                          ORDER TOTAL:$_____________

I would like to ADD:

Eurostar Chunnel Passholder Tickets         Eurostar Timetables:   For Eurail, some Selectpasses, France + Italy, France + Spain, and some country passes

Class:   First:____________ ($155)        Second:____________ ($75)

1.  Depart City:___________________ Date:_______________________  Time:______________

    Arrive City:___________________ Date:_______________________  Time:______________

2.  Depart City:___________________ Date:_______________________  Time:______________

    Arrive City:___________________ Date:_______________________  Time:______________

# of tickets:___________  X .________  =$_______________

Class:   First:____________       Second:____________

1.  Depart City:___________________ Date:_______________________  Time:______________

    Arrive City:___________________ Date:_______________________  Time:______________

2.  Depart City:___________________ Date:_______________________  Time:______________

    Arrive City:___________________ Date:_______________________  Time:______________

# of Seat Reservations:___________  X .________  =$_______________                   

Night Train:  Most Couchette Reservations (6 person compartment) cost $28 per/person per/night train.  Luxury Hotel Trains can be more.

For Private compartments Contact TERC for Pricing:  It varies with different destinations.

Class:   First:____________       Second:____________

1.  Depart City:___________________ Date:_______________________  Time:______________

    Arrive City:___________________ Date:_______________________  Time:______________

2.  Depart City:___________________ Date:_______________________  Time:______________

    Arrive City:___________________ Date:_______________________  Time:______________

# of Night Train Reservations:___________  X .________  =$_______________ 

ORDER TOTAL:

Rail Passes: ................................................................................$____________

Eurostar Chunnel Tickets:................................................................$____________

Seat Reservations:.........................................................................$____________

Night Train Reservations:.................................................................$____________

Pass Protection:............................................................................$____________

Shipping:.........(UPS 2 day air = $8)..................................................$____________

If you ordered Chunnel, Seat or Night reservations add booking fee of $7 for entire order--not per/ item orderd:..............................................................................$____________

                             Total Order: ...................................$____________

______I Need Point to Point Tickets &/or Seat Reservations Fill out Order Form:
______I Need Chunnel/Eurostar Reservations Check Pass Holder Prices  Fill out Order Form
______I Need Eurail - Eurorail - Youth Pass  Fill out Order Form:
______I Need Rail Drive Pass  Fill out Order Form:
______I Need Car Rental  (verify prices with TERC before placing order E-mail:  tercmele@aol.com  or Call: (808) 395-2083    Fill out Order Form:

Very Important Information:
Please fill out this section completely in capital letters. If you are ordering 3 passes, include information for both travelers below. If you are ordering more than 3 passes (or have a larger Saverpass group), please attach complete information for each traveler on a separate sheet.

USA/HAWAII. Departure Date___________________________  Country of Residence:_______________________

SEND PASSES TO PERSON #1:                  

Person #1 Name as on passport Mr.or Ms._______________________________________CHILD/Youth /Senior: Birth Date:___________

Mailing Address:_____________________________________________________________

City_________________________________State__________ZIP_______________________

Day Phone:_________________________Night Phone:________________________

e-mail______________________________________

Person #2 Name as on passport Mr.or Ms____________________________________________CHILD/Youth /Senior: Birth Date:___________

Person #3 Name as on passport Mr.or Ms____________________________________________CHILD/Youth /Senior: Birth Date:___________