Main office: 16455 SIERRA ST FOUNTAIN VALLEY, CA 92708-2105 USA
Tokyo office: 1-2-2-1007, Kudan-Kita, Chiyoda-Ku, Tokyo, Japan 102-0073
Fax: 011-86-10-85952213(China Data Center)/ 011-81-3-3263-6071(Tokyo
Office)
Please send your fax to China
Data Center for faster processing
* Required Information
Application of Rental Phone for use in the U.S.
ACCOUNT
User Name
___________________________ (optional)
Password
___________________________ (optional)
Email
___________________________
Tourfone uses email to confirm your reservation,
send urgent messages and receipt of service fees, so please double check.
PROFILE
Family Name
___________________________
*
Given Name
___________________________
*
Street Address
___________________________
*
City
___________________________
*
State/Province
___________________________
*
Country
U.S.
Japanese
Other
*
Zip/Post Code
___________________________
*
Home Phone
___________________________
*
Work/Mobile Phone
___________________________
Age
___________________________
*
Gender
M
F
*
Occupation
___________________________
Language
English
Japanese
Chinese
*
Passport Number
___________________________
*
PICK UP/RETURN Time and Location
1.) I will pickup/return my rental phone in Tokyo Office at following
locations:
1-2-2-1102, Kudan-Kita, Chiyoda-Ku, Tokyo, Japan 102-0073
2.) Ship to my home/office in Japan at following address (pay by addressee):
To ensure timely delivery, reservation must be made in advance by at least
1 business day for Tokyo area and 3 business days for other cities in
Japan. For urgent requests, please contact Tourfone Tokyo office. Phone:
011-81-3-3263-7040
Ship to
Contact Name
___________________________
*
Street Address
___________________________
*
City
___________________________
*
Contact Phone Number
___________________________
*
Fax
___________________________
Rental duration
Date to be delivered
___________________________(yy/mm/dd)
*
Time
___________________________
*
Date to be returned
___________________________(yy/mm/dd)
*
Time
___________________________
*
PREPAID RENTAL FEE
Tourfone's service charge is calculated as the
sum of P & H fee, phone rental fee and prepaid calling fee. You must
pay for your order in advance with your credit card and overage of your
prepaid calling fee will be charged to your credit card too.
Processing & Handling Fee
$10
Phone Rental Fee
$1/day with 5 days minimum
Calling Plan
A
B
C
*
Prepaid Calling
Fee
Rate Table
Domestic/Incoming
Int'l
A. Emergency Plan
$29.50
$0.48/min
$0.90/min
B. Business Plan
$89.50
$0.28/min
$0.50/min
C. Executive Plan
$159.50
$0.20/min
$0.40/min
Accidental insurance
Yes
No
($1/day with $5 minimum)
*
* With this insurance, you will not
be liable for the cost of repairing the phone, and the replacement cost
will be $100 less if the phone is stolen or damaged beyond repair.
Call detail lists by fax
Yes
No
($5 service fee)
*
Fax number
___________________________
Referrer ID
___________________________
CREDIT CARD
Type of the Card
Amex
Visa
MC
JCB
Diners
*
Name of the Card Holder
___________________________
*
Card Number
___________________________
*
Expiration Date
___________________________
*
Tourfone will report
credit card fraud crime to authority and impose $ 200 for invalid credit
card information.
I herewith authorize Tourfone to charge my credit
card for the above services and additional calling fees should it incur.