Service Provider Application

Please fill out the form below and sumbit in order to allow us to begin processing your application. Alternatively, please download the full application form, fill it out and fax it to us.

* = required field

COMPANY CONTACT
Company *
Full address
Phone number *
Fax number *
Email *
Website *
Hours of dispatch * Other:
   
MANAGEMENT CONTACT
Name *
Position *
Mobile *
Email *
   
REFERENCES
Limousine Networks *
List all that apply, if any
Corporate Reference 1  

Company *
Contact name *
Phone number *
   
Corporate Reference 2  
Company *
Contact name *
Phone number *
   
CORPORATE STRUCTURE
Corporate structure * Other:
Year company established
TCP number
Affiliations (check all that apply)
   
CHAUFFEURS
Describe the chauffeur training program
Chaufffeur communication
Chaufferur drug-testing program (Check all that apply) Pre-employment Periodic Random Other:
   
INSURANCE COVERAGE
Amount of Insurance
Name of Insurer
Phone number of Insurer
   
VEHICLE INVENTORY
Type
Make
Model
Year
Color
# Pass
Number
Example Sedan
Lincoln
Towncar
2006
Black
3
3
   
LOCAL AIRPORT SERVICE
Local Airport
Airport Greet Procedures  
Option 1
Option 2 (If applcable)
   
AIRPORT TRANSFER RATES (Local airport to/from downtown)
Vehicle Base Rate Gratuity (%) Taxes (%) Discount (%) Net Rate
Sedan
6-Passenger Stretch
14-Passenger Van
   
HOURLY CHARTER RATES
Vehicle Base Rate Gratuity (%) Taxes (%) Discount (%) Net Rate Min Hrs
Sedan
6-Passenger Stretch
14-Passenger Van
Does your Company have a
mileage tariff?
Cancellation Policy hours
Surcharges (Describe any applicable surcharges, such as night, holiday, airport greet, etc)
By entering the information below, I certify that all information contained in this application is fair and accurate.
Name
Title
Date