To: World Roam Your email address: From: Your title: Mr. Ms. Mrs. Dr. Other First name: * Last name: * Phone: * 1. I plan to travel to: please select the first country you are traveling to ------ North America: U.S.A. ------ Europe: England / United Kingdom Europe: France Europe: Ireland Europe: Switzerland Europe: another country in Europe ------ Asia: China Asia: Japan Asia: another country in Asia ------ North America: U.S.A. North America: Canada North America: Mexico Another country in North America ------ Asia Pacific: Australia (pickup in Australia) Asia Pacific: Australia (pickup phone in U.S.) Asia Pacific: New Zealand Asia Pacific: another country in Asia Pacific ------ Africa & Middle East: Israel Africa & Middle East: Saudi Arabia Africa & Middle East: another country in Africa ------ Latin / South America ------ Other 2. I would like information about the following: (Click one or more 'boxes') What are your rates? Tip: If you haven't already seen our rates, click here for rates for some of the more frequently requested countries. What is the coverage area for the above country? Tip: We also rent satellite phones, click here for more information about worldwide satellite coverage. I have the following question that I need answered: Tip: Please provide as much information as possible, specifying dates, multiple countries, and anything else that will allow us to provide you the information that you require. 3. My question is: 4. Please take a moment to tell us how we can improve this form: This form is okay as is. I have the following comments about this form: 5.
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