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Cell Phone Rental in China
Cell Phone Rental
SIM Card Sale
GSM Phone Sale
Automatical Recharge Service
RENTAL DETAIL
Coupon:
RELATED SERVICE
Will you use the phone in HongKong?
($20 for HongKong usage fee)
Yes
No
Voice Mail Service
(
$5
activate fee)
Yes
No
CUSTOMER INFORMATION
Gender:
*
Mr.
Ms.
First Name:
*
Last Name:
*
Home/Office Phone Number:
*
E-Mail Address:
*
(Your must enter an correct email address for notification/communication)
Alternative E-mail
DELIVERY INFORMATION
Phone to be Delivered or Shipped to Address:
Contact/Hotel Name:
*
Hotel Guest Reservation Name:
Please confirm the reservation with hotel, otherwise it is hard to guarantee on time delivery
Street Address:
Country/City:
*
select
Shanghai
Beijing
Guangzhou
USA
Canada
Other
Contact/Hotel Phone Number:
*
Date(mm/dd/yy):
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
2006
2007
(Month/Day/Year)
Time:
Time
1:00~2:00
2:00~3:00
3:00~4:00
4:00~5:00
5:00~6:00
6:00~7:00
7:00~8:00
8:00~9:00
9:00~10:00
10:00~11:00
11:00~12:00
12:00~13:00
13:00~14:00
14:00~15:00
15:00~16:00
16:00~17:00
17:00~18:00
18:00~19:00
19:00~20:00
20:00~21:00
21:00~22:00
22:00~23:00
23:00~24:00
Phone to be Returned:
Contact/Hotel Name:
*
Street Address:
City
:*
Date (mm/dd/yy):
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
2006
2007
(Month/Day/Year)
Time:
Time
1:00~2:00
2:00~3:00
3:00~4:00
4:00~5:00
5:00~6:00
6:00~7:00
7:00~8:00
8:00~9:00
9:00~10:00
10:00~11:00
11:00~12:00
12:00~13:00
13:00~14:00
14:00~15:00
15:00~16:00
16:00~17:00
17:00~18:00
18:00~19:00
19:00~20:00
20:00~21:00
21:00~22:00
22:00~23:00
23:00~24:00
PAYMENT METHOD
Credit Card We Accept:
Visa
Mastercard
American Express
Discover
JCB
diners
Name as it appears
on credit card:
*
Credit Card Number:
*
(Please confirm it)
Exp. Date:
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Year
2006
2007
2008
2009
2010
2011
2012
2013
2014
Security Code:
*
Special Delivery Message:
AGREEMENT
I,the Customer, have read and agree with the terms and conditions set forth in this contract. I accept responsibility for all equipment received, and agree to be responsible for all rental charges, prepaid phone cards, delivery charges if there is any. I authorize PandaPhone to process credit card vouchers in my name for all charges I have incurred under the terms of this agreement.
Initials of your first name and last name:
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