ITALY BY FERRARI ORDER FORM 2015

ITALY BY FERRARI ORDER FORM 2015
Please complete this form and return:
By scan email: [email protected]
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
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ITALY BY FERRARI ORDER FORM 2015
Please complete this form and return:
By scan email: [email protected]
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
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