Delay Compensation Form - Eurail Group G.I.E.

Language

Personal details

Salutation *

First name *

Surname *

Address *

City *

Zip code *

Country *

E-mail *

Confirm e-mail *

Where did you purchase your Pass?

I purchased my Pass from Eurail BV with a credit card (www.eurail.com / www.interrail.eu)

I purchased my Pass somewhere else and/or not with creditcard

Customers who bought their Pass directly from Eurail BV with credit card will be refunded on the credit card used to buy the Pass.

Account holder *

Account number / IBAN *

Swift / BIC / Other bank identification code *

Bank name *

Routing number (or similar)

Pass number *

Price *

Currency *

Pass type *

Pass validity *

Attachment of scanned copy (photo) of the pass & Travel diary

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Attachement of any supporting documentation

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I confirm that the information and enclosures are correct and that I am the rightful owner of the pass.

I agree with Eurail Group’s Privacy policy