Cellular Phone Order Form:

To make your reservation(s), fill this form out and submit it to us directly or fill this form out on your browser, make a copy and fax it to us at: Country code (503) 245-0260. If you wish to reach us by phone, the numbers are (503) 245-0282 or (503) 245-0260.

Please provide the following contact information:

Name
Title
Organization
Work Phone
FAX
E-mail
Passport Number

Please provide the following ordering information:

QTY    # OF DAYS  MODEL OF CELULAR PHONE

DATES YOU WISH TO RENT PHONE(S):

BILLING
Credit card
Cardholder name
Card number
Expiration date