Welcome to our A1A Transportation Field Trip Request area.

A1A TRANSPORTATION, INC.

4749 Orange Drive
Davie, Fl 33314

Broward Numbers:
(954) 584-5877

Miami-Dade Phone Numbers:
(305) 685-8040

Palm Beach Number:
(561) 623-6941

www.a1atransportation.com

FIELD TRIP REQUEST FORM

Instructions: Please complete this form, and submit to A1A Transportation, Inc. for Confirmation. Your trip is not confirmed until you receive an e-mail confirming your bus (es).

School/Organization
Requestor's First Name
Requestor's Last Name
E-mail
Confirm E-mail
Group/Team
Phone No.
Fax No.
Date of Trip
Number of Buses
Number of Passengers
(3 per seat = 65 pass.)
(2 per seat = 43 pass.)

Pick-Up Location Name and Address
Pick-Up Location Name
Address
City, State, ZIP
Loading Area
Pick-Up Time
Contact Person Traveling w/ Group (First Name)
Contact Person Traveling w/ Group (Last Name)
Contact Person Emergency Phone No.
Destination Location and Address
Destination Location Name
Address
City, State, ZIP
Departure Time
Special Instructions:

Payment Information
Form of Payment District PO
  Internal Funds PO
  School Check
  Organization Check
   
  Visa, Mastercard, Discover, American Express
Disctrict PO
Disctrict PO Number
Department
Internal Funds PO
Internal Funds PO Number
School Check
Organization Check
SBBC P-Card
P-Card Card No.
P-Card Expiration Date
P-Card Security Code
Visa, MasterCard, Discover
Credit Card Type
Credit Card No.
Credit Card Expiration Date
Credit Card Security Code
Authorized Credit Card User Electronic Signature

Billing Information
Organization Name
Payment Contact Person First Name
  Last Name
Title
 
Other:
E-mail Address
Confirm E-mail Address
Phone No.
Fax No.
Billing Address
Billing City, State, ZIP
Billing Country

Terms and Conditions

•  Two days cancellation notice required to avoid minimum payment for the day, which is half the cost of the minimum.

•  Cancellations must be done by fax or e-mail. Phone cancellations will not be accepted.

•  Changes must be done by fax or e-mail.

•  A charge of 1.5% will be applied to invoices over 30 days old.

•  Bus (es) must depart destination at the designated time. Late buses are subject to additional costs.

•  Original invoice will be e-mailed to payment contact person after the field trip is completed.

I agree to the Terms & Conditions (You must check this to proceed).

Requestor's Signature
(Please print name in lieu of signature.)
Date     

 


Bus(es) are not confirmed until you receive a confirmation via e-mail.

Rev. 3/14/05