International Cellular Services

To Order Services Please Complete This ICS Secure Online Phone Rental Agreement or call us at 1-800-878-1255

* Required Field

Billing Information Name & billing address must match credit card
*First Name:
*Last Name:
*Company:
*Address:
*City:
*State:
*Zip:
*Country:

Delivery Information Same as billing information:
First Name:
Last Name:
Company:
Address:
City:
State:
Zip:
Country:

Contact Information
*Day Phone:	*Evening Phone:
*Email:	Contact Name:
Fax#:
Please send my billing statement via:
Credit Card Information
*Credit Card Number: No Spaces or Dashes We do not accept debit or check cards	*Exp Date:	mm yy
*Credit Card:	*3 or 4 Digit CVV:
Order Information
*Date of Delivery:
*Date of Return:
*Number of Phones:
*Countries to be visited:
*Rental Choice: (Choose all that apply)	Cell Phone GPS Blackberry Satphone Click Here For Rates
Optional Features
*Optional Insurance:	*Travel with a US number:
Yes, $1.50 per day / $75 deductible No, $350 fee for non-insured loss of equipment	Click here for rates & details
Comments:
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A credit card authorization of $300 will be processed. This is not a deposit or a charge taken from your card. By checking this box, I hereby authorize my signature for the above rental agreement and agree to the terms and conditions and authorize ICS to bill all applicable charges associated with this rental agreement to my credit card provided above.
You Must Check Box To Accept Terms:
For your protection, an ICS representative will contact you to confirm your order