AFFILIATE ACCOUNT APPLICATION

Company Information:

Company Name

(Full legal name):

Does your firm have a dba?

Yes

No

If so, please list the other names :

Address

Street Address

City

State

Country

Postal code

Mailing Address

Contact Name:

Title

Telephone # *

Fax

Email Address *

Website

Alternate Contact Name

Alternate Telephone #

Company Principles:

Name & Title

Business Type: *

Owner/Operator

Employee Based

Both

Are you a member of NLA? *

Yes

No

Operations Information

Do you provide chauffeured ground transportation 24/7? *

Yes

No

What is your 24/hour telephone number?

Which areas do you provide coverage?

Which airports does your firm serve?

Please list the operating licenses/permits that are held by your firm

(US DOT, Country, State, City, County and Regional)

Do you provide 24 hour reservation capability? *

Yes

No

How is reservation information transmitted? *

Fax

E-mail

Internet

Odyssey/Transponet

What is your Transponet ID #? *

How do you communicate with your drivers? *

Do you monitor flights? *

Yes

No

If yes, please describe procedures:

Where does the chauffeur meet passengers for airport pick-ups?

Domestic Flights

International Flights

Employee InforEmployee Informationmation

Do you perform a pre-employment screening on your employees? *

Yes

No

What areas do you check? How many years do you check? *

Criminal History
Motor Vehicle History
DMV History

Do you perform a pre-employment drug screening on your employees? *

Yes

No

Are any of your drivers owner/operators? *

Yes

No

If so, how many?

Are any of your chauffeurs under 25 years of age? *

Yes

No

If so, how many?

What is the average number of years all chauffeurs have been employed by your firm? *

Are your chauffeurs required to attend training courses? *

Yes

No

If so, please list the courses?

Fleet Information:

What is the total number of vehicles in your fleet? *

What types of vehicles are in your fleet? How many of each type do you have? *

Sedans
Limousines
SUV’s
Vans
Mini Buses
Motor Coaches

Please provide detailed information on the make, model, and age of the vehicles in your fleet. *

Billing Information:

What is your cancellation policy? *

Sedans:
Limousines:
SUVs:
Vans:
Mini-Coaches:
Coaches:

What constitutes a stop? *

Specify how you charge for stops? *

How much complimentary wait time do you offer on pick-ups? *

Domestic:
International:
Non-Airport:

What is your wait time policy? *

What is your affiliate discount rate? *

**Please submit a copy of your company’s affiliate rates**

Do you charge any extra fees, i.e. night fee, airport fee, surcharge, tax, etc? If so, please specify: *

Do you charge extra for chauffeurs to greet passengers inside the airport terminal: If so, please describe: *

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