| Click on menu options "File" "Print" to print a copy of this reservation form FAX BACK TO: (913) 722-4320 | |
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Date Of Travel _______________________________________________ |
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Passenger's Name: |
Contact Phone: ______________________________________ |
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Date of Travel |
Day Of Week: ______________________________________ |
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Passenger Email (for confirmation) |
Contact Fax: _______________________________________ |
| Passenger Pickup Address: ____________________________________________________ Zip _________ | |
| Telephone Number At Pick Up Address: _____________________________________ | |
| Passenger Drop off Address: _________________________________________________ Zip ___________ | |
| Telephone Number At Drop Off Address: _____________________________________ | |
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Number of Passengers: _______________ |
Number of bags:_______ |
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Number of Oversized Articles of Luggage: (golf clubs, skis, large boxes) ___________ |
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| ITINERARY FLIGHT INFORMATION | |
| Date of Flight: ____/____/________ Date of Flight: ____/____/________ | |
| Airline / Flight # _______________ Airline / Flight # _______________ | |
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Flight Time: ____|____ Flight Time: ____|____ |
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| Airline / Flight # _______________ Airline / Flight # _______________ | |
| Arrival From (City) _______________ Departure To (City) _______________ | |
| Circle Method of Payment Below | |
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[ Visa ] [ Mastercard ] [ American Express ] [Direct Bill ] Acct Number: ______________________________ |
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| Credit Card Number ______________________________________ Exp Date: _________/________ | |
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Card Holder's Name: _________________________________________________________ |
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Card Holder's Phone Number:_____________________________________________ |
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Gratuity Included On Credit Card: $___________ Total to be charged on Credit Card $__________ |
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Note: Quicksilver is a shared ride service, all pick up times will be set
on
quarters of the hour, at least two hours prior to flight time. For Example: A 10:25 departure flight time would normally be scheduled for 8:15 pick up. For arrivals at MCI, please collect your luggage and look for a driver with black pants / white shirt and a sign with your last name on it. We will fax you back a confirmation number and pick up time as soon as we've entered your reservation into our system. Thank you for using Quicksilver, Kansas City's' leader in airport transportation since 1982. |
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KC Metro Fax (913) 722-4320 Telephone (913) 262-0905 Reservation Out of town reservations or flight changes - (800) 888-8294 |
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| www.kcquicksilver.com reservations@kcquicksilver.com | |
