1-866-417-9417 Airport Transportation

Registration

(Please fax completed application (407) 429-3863

Name:____________________________

Pickup Address: _________________________

Drop off address:_________________________

City: _________State: ____ Zip Code:_________

Tel: ____________Fax: _________________

Grade:__________________________________

Contact Name: _________Cell Tel: __________

Contact Email: __________________________

TERMS & CONDITIONS

Cancellation

The undersigned acknowledges and agrees that all fee quoted for services provided by 1-866-417-9417 Airport Transportation are estimates only. Final charges upon service completion will be based on the actual service provided.

Cancellation Policy

Cancellation require a least a three(3) weeks notice.

Exception

The undersigned acknowledges and aggress that 1-866-417-9417 Airport Transportation reserves the right to charge a minimum fee advance ($200.00 US)

schedule requested by its customers, but this may not be guaranteed. 1-866-417-9417 Airport Transportation is not responsible for delays/service interruptions or damages caused by natural disasters, strikes, riots, authorities of law, public enemies, hazards or dangers caused by state of war, quarantine, perils of navigation, inclement weather, hazardous road conditions, accidents or breakdowns or any other condition beyond its control.

Student Name : _____________ Parents : _____________

Signature : _________________ Date : _________

Date : _____________

Tel Number : ________________________

Credit Card Number: _____________ CCV____

Expiration Date : Month _____ Year ________

Name as it appears on the card : ___________

Billing Address : ________________________

City : ____________ State : ___ Zip : _______

AUTHORIZED SIGNATURE _______________

Please sign and fax back including copy of front and back of the credit card listed

above.

Thank you for your business.