New Student Stand-by/Guarantee Seat Request

 

 

Student ID #:             ______________________________________________

 

Student Name:           ______________________________________________

 

Student Email:            ______________________________________________

 

Flight Information:

 

What Airline are you arriving on:    __________________________________________

 

What Flight number are you arriving on:    ____________________________________

 

What is the date of your arrival: ____________________________________________

What is your EXACT arrival time at Lambert St. Louis Airport:   ___________ AM or PM

 

What is the last city you depart from before arriving at Lambert St. Louis Airport:    _____________________

 

Luggage Information:  

 

How many suitcases will you have?  ____________________________

 

What is the weight of your suitcase?  _____________   Dimensions:  ______________

 

How many carry-ons will you have?  _____________________________

 

Comments:  

 

 

 

 

 

 

 

Payment Details (please select either option 1 or option 2, not both):  

 

Option 1: ____  I would like a stand- by seat

 

By requesting a stand-by seat I understand that seating may not be available and is limited to a first come first serve basis.  I will not owe any money until I am actually picked up.  At that time I will pay to the driver $65 plus any excess luggage fees that I owe.  

 

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Option 2: ____ I would like a guaranteed seat reservation

 

If you want a guaranteed seat, the price is $120 (or $220 for special pick up) plus any excess luggage fees and/or special pick-up fees and must be prepaid with a credit card.  

 

Credit Card Type:  MasterCard     Visa    American Express   Discover

 

Credit Card # :  ________________________________  Expiration Date:  __________

 

Security Code:  ___________  

 

Address:  ____________________________________________________________________

 

By booking a full price reservation, you agree to the terms as listed on our website, www.usaxonline.com.

 

X___________________________________________________    _______________

 Student Signature (No digital signature accepted)                                   Date

 

 **This form must be returned to USA Express, Inc. via email to students@usaxonline.com.

 For guaranteed seat reservations, we suggest booking a week or more in advance for availability and no less than 48 hours in advance.  

Office Use Only

 

Date received: ________________

 

Date confirmed:  ______________

 

Amount Owed:  ______________________    Date Paid:  __________________