Page 1 of 2

User Rental ID: 3005273

ModemOnly, JPTest
Home: Cell: Fax: E-mail:
2017051007 jpark@outdash.com

Application Date: 4/6/2011 09:57 AM

Billing Information Services

Cardholder: outdash outdash
Israel Wireless Modem (Israel)

Card Number: ****1111 01/2012 Details

Nickname: outdash outdash

Promo Code:

Address: test

How Did You Hear About Us?:
test, test
Outdash

Billing Preference: E-mail

Insurance: NO

Special Instructions:
Shipping Information
Preferences

Delivery Method:

Address:
Model:

Leaving from
Car Charger: No

Above Address: 04/07/11

Phones (Total 1 Phone)

Nickname Arrival Departure Phone Number U.S. Number

Modem 1 04/07/11 04/14/11 447827369472 Not requested

Rental Charges (Israel Wireless Modem)

Security Authorization $250.00

Shipping Charges

Standard $10.00
Express (2 Day Air) $20.00
Overnight $35.00 Charges
Pickup FREE Daily Rental $5.99
Return $10.00 Total Charge $41.93

By signing below, customer agrees to the Terms and Conditions (available online) and understands that credit card will be authorized
for the security deposit and billed for all usages.

Rental and other set up fees are billed upon completion of application.

Usages billed in $100 increments throughout trip.

A final charge for all unbilled usage and fixed fees charged upon return.

Lost phones must be reported to UNO4 office or online (minimum insurance deductible:$50 / $150 for Blackberry).

Attempting to enter PIN codes, alter SIM card, or other settings may result in higher fees, loss of service or replacement
costs.

Phones must be returned within 48 hours of your return to avoid a $4.00 per day late fee.

X_______________________________ Date___/___/___

NETWORK INFO
Your UNO4 Phone works in over 100 countries and with many different GSM carriers, this affords us the opportunity to
provide you the best possible coverages.
Your UNO4 phone will automatically choose a local GSM provider upon arrival. Please note a specific carrier's reception may
vary from time to time.
Your phone will include instructions on how to manually change the carrier should the need arise.

Taking a cruise?

4/6/2011