Eurail - Selectpass- Rail & Drive Pass FAXOrder Form

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Questions?   

Call TERC: (808) 395-2083  or Toll Free:  877 581 6594 

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

Check Pass Prices: Rail 'n Drive Passes

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

Print this form to order by phone, fax
Railpass prices are good for orders received through 112/29/2003
You must begin using your pass or car rental voucher  within six months of the date it is issued.

SUMMARY: Rail Drive Pass Selected:

Pass____________________________________________________________________________ Be specific since they can sound alike

Selectpass Countries: 1___________________ 2_____________________ 3_____________________

4_____________________5______________________

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

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

Additional 3rd or 4th person passes being ordered: _____________ x  Price per Pass:

                                                                    _________= Total: $________

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

Extra *Car Days being ordered: _____________ X Price per Day    ________= Total: $________

                                          ORDER TOTAL:$_____________

*Information Needed for Rail Drive Passes  

   Car Drivers Name:______________________________________________________

1. Car:  Pick up Country__________________________________

Pick-up City____________________________Date_________________________Time____________

Drop City______________________________Date_________________________Time____________

Car Rental Price Quoted by TERC : _______________________                Car Rental TOTAL:$__________

2. Car:  Pick up Country__________________________________

Pick-up City____________________________Date_________________________Time____________

Drop City______________________________Date_________________________Time____________

Car Rental Price Quoted by TERC : _______________________                Car Rental TOTAL:$__________

3. Car:  Pick up Country__________________________________

Pick-up City____________________________Date_________________________Time____________

Drop City______________________________Date_________________________Time____________

Car Rental Price Quoted by TERC : _______________________                Car Rental 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: ...................................$____________

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. NOTE YOU MUST BE 25 YEARS OR OLDER TO DRIVE.

Departure Date___________________________  Country of Residence:_______________________

SEND PASSES TO PERSON #1:                  

Person #1 Name as on passport Mr.or Ms____________________________________________

Mailing Address:_____________________________________________________________

City_________________________________State__________ZIP_______________________

Day Phone:_________________________Night Phone:________________________

e-mail______________________________________

Person #2 Name as on passport Mr.or Ms.____________________________________________

Person #3 Name as on passport Mr.or Ms____________________________________________