Welcome AAA Member - Planetfone International Cell Phone Rental
 
 

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* Denotes Required fields

First Name* Last Name*
Company
Shipping Address*
City* State* Zip*
Phone* Fax
Email*
 
For your own protection, if your Shipping Address and Billing Address do not match your order may be placed on hold until we can validate your information.
Billing Address*
Please enter address as it appears on your credit card statement.
City* State* Zip*
Phone Fax

Phone Delivery Date*
/ / 		Activation Date*
/ / 		Return Date*
/ /
    Select Shipping Method

 Must be submitted before 4:00 p.m. Pacific standard time for Overnight Shipping. Orders Placed after 4:00 PM (PST) will not process or ship until next business day

Orders placed Saturday/Sunday will not ship until Monday; earliest delivery Tuesday
If you are going on a cruise please check this box
Check here if you want the package to be left without your signature. If you mark "Yes", then you are accepting full responsibility for the phone and all calls made from the phone.
Optional - One Year Executive Service Plan (call for rates)
Optional - Check for Data Cord delivery.
(Data cord is used to connect laptop to GSM phone for Email and FAX capability)
....Optional - Check here for your 800 Toll free Number what's this
  Quantity of phones ordered  * 
Please list all of the countries you will be visiting
Country 1 Country 2 Country 3
Country 4 Country 5 Country 6
Country 7 Country 8 Country 9
Country 10    
   
Special instructions or notes.
How did you hear about PlanetFone?
Referred by a friend Search Engine
Used service before Agent Referral
AAA  
AAA Travel Agent Name (If Applicable)
 

Search Engine Used*

Keyword Used

Please enter your 3 Digit AAA Club code and your 9 digit Member number without spaces or dashes
Club Code* AAA Member Number*

Gift Certificate Enter Last 4 digits

Travel Agent Information
Agency 
Agent 
Agency 
Address 
Phone 
 
I authorize PLANETFONE to use the following card to pay for my cellular phone rentals and fees
 Master Card     VISA Card    American Express     Discover
Credit Card Number *
Exp. Month*
 Exp. Year*
(1234)
(5678)
(9012)
(3456)
Ex. (Feb = 02)
(2 Digit Year)
Ex.(2006 = 06)
(2 Digit Year)
For security purposes, please include the 3 or 4 digit security code (found on the back/front of your card) :
3/4  Digit Code*
Name on Card*
    
 
 
*Available Insurance
Deductible
  
 
$0.99 - per day
No deductible
  
 
Free
$75.00 deductible
  
The replacement cost of the phone without insurance is $300.00 U.S.
*Insurance with no deductible will automatically be applied if this is left unmarked.
 $0.99 - No Deductible Free - $75.00 Deductible
 
Credit Card Authorization

PlanetFone will take an authorization from your credit card. This is not a deposit, but only a hold on the funds, lasting between 24-72 hours depending on the issuing bank. PlanetFone maintains the right to charge and reauthorize your credit card each time your account balance reaches the authorization amount of $300.00.
Please Note: All prices are in U.S. Dollars. Applicable U.S., State, and foreign taxes, including Value Added Taxes in certain countries, are not included, are additional; and will be added. Rates are subject to change without notice.