ITALY BY FERRARI ORDER FORM 2015
ITALY BY FERRARI ORDER FORM 2015 Please complete this form and return: By scan email: info@italybyvespa.com By fax to: (720) 437-7063 By Mail: 8501 W. 8th Ave Lakewood C0 80215 USA Today’s Date Participant Name: / / Spouse/Guest Name: Mailing Address: Phone: _____________________ E-Mail Address: __________________ How did you hear about us? SECTION ONE – Tour Choices 4 days / 3 nights Standard Room Price Extend SECTION TWO Tour Date Requested: €5,950.00 price is per person/double occupancy (includes IVA tax) (2 days driving 300km included) €11,900.00 Pre tour services: Pre tour hotel(s): 5 days / 4 nights Standard Room €7,350.00 price is per person/double occupancy (includes IVA tax) (3 days driving 450km included) €14,700.00 Ferrari Car Upgrades Car type >> 6 days / 5 nights Standard Room €8,995.00 price is per person/double occupancy (includes IVA tax) (4 days driving 600km included) €17,990.00 4 day 5 day 6 day 8 days / 7 nights Standard Room 8 day €11,150.00 price is per person/double occupancy (includes IVA tax) (6 days driving900km included) 458 Italia €1,500.00 €2,000.00 €2,300.00 €2,500.00 458 Italia Convertible €1,800.00 €2,300.00 €2,500.00 €3,000.00 Allowable km’s per day of 150, extra km billed after trip conclusion €22,300.00 Each Extra KM California Add upgrade cost if upgrading Ferrari Each Extra KM 458 Italia coupe TOTAL EUROS Separate rental agreement will follow with completed booking forms Each Extra KM 458 spider convertible Fuel cost paid by driver Are you interested in trip cancellation insurance YES / NO Cash credit card car deposit €15,000.00 required to cover Insurance deductible Can be purchased within 14 days of deposit €4.00 €5.00 €7.00 KM’s over the duration of the trip billed by model between €4.00 - €7.00 per km We require a scanned valid driver’s license and valid passport with the reservation form at the time of booking Page 1 of 2 ITALY BY FERRARI ORDER FORM 2015 Please complete this form and return: By scan email: info@italybyvespa.com By fax to: (720) 437-7063 By Mail: 8501 W. 8th Ave Lakewood C0 80215 USA Deposit & Payment method (select one) Non Refundable ( ) Non Refundable Deposit €2,500. Per Person (Trip is CONFIRMED and balance is due in 60 days If tour is within 60 days payment in full is required and will be charged on that date to the card listed below) € ( ) Bank Transfer (First Western Trust Bank of Colorado) (Italy by Vespa LLC) The ABA Number is: 102007011 Account Number: 2085501 Please fax this form to the fax number above Non Refundable ( ) Payment in Full Non Refundable € (Trip is CONFIRMED or less than 60 days before departure) ( ) Check 10 days clearing required Please forward check and this form to the address above ( ) Credit Card *conversion rate will include a 5% interbank charge Read terms at left carefully! Master Card / Visa (circle one) note: AMERICAN EXPRESS is not accepted Card Number: Expiration: / / / / Last 3 digits on back of card: ( ) Name as it appears on Credit Card: Credit Card Billing Address: Zip Code Client & Cardholders Signature X Cardholder Acknowledges to pay amount stated above and agrees to the above terms and conditions contained heron and on www.italybyvespa.com including to be billed for any extra KM that is not included and any speeding tickets or accident deductible Auto Deposit Credit Card (Euros €15,000.00) if different than tour booking card Master Card / Visa (circle one) note: AMERICAN EXPRESS is not accepted Card Number: Expiration: / / / / Last 3 digits on back of card: ( ) Name as it appears on Credit Card: Credit Card Billing Address: Zip Code Client & Cardholders Signature X Cardholder Acknowledges to pay amount stated above and agrees to the above terms and conditions contained heron and on www.italybyvespa.com including to be billed for any extra KM that is not included and any speeding tickets or accident deductible Page 2 of 2
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