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>BENELUX TOURAIL PASS ORDER FORM

 

Please Note: Your railpass order can only be taken by credit card. Your credit card will be processed and your railpass will be issued by DER Travel Services of Rosemont IL. If you have any questions, please call Armchair World at 1-800-434-6119. For your protection all railpasses are sent to you via Federal Express from Rosemont, IL.

Please provide the following information:

First name
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Phone(Required)
FAX
E-mail
Departure date:

Please provide the following passenger information:

MR/MRS    PASSENGER NAME (As it appears on passport)    Country of Residence

 

Please provide the following railpass information:

If you are ordering a youth pass you must be 25 years of age or younger at the time of travel.   

How many What type of pass

Would you likefor only $10.00?

 YES NO

Please provide the following billing information:
Credit card
Cardholder name
Card number
Expiration date
SHIPPING ADDRESS (If different from above)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Phone number

All orders will be billed in U.S dollars!

Choose your location from the following options:

 

Please read the

 

All orders will be re-confirmed and returned by E-mail for your final approval. Orders received Monday through Thursday will be re-confirmed within 24 hours. Orders received Friday, Saturday and Sunday will be re-confirmed no later than Tuesday. Your tickets will not be issued until you have E-mailed us with final approval.