 Online
Reservations
Click
here if you have a User ID and Password for East Coast Online Services
Otherwise, read below:
To
use our live online reservation and billing system you must have a User ID
and Password.
These
will be assigned to you or your travel manager. If you don't have one, fax us
a
request at (917) 606-1736.
You may still
place a reservation by calling us at (800)
822-8767 or using our e-mail based
reservation
page below. When using the form below, allow 12 hours advance notice.
We will confirm your reservation request via phone, e-mail or fax.
Hit TAB to jump between
fields.
Account and Payment
Information (skip
items with * if
you have been assigned a VIP No.)
Bill to
Account or VIP No. Account #:
Account Name:
VIPNo.:
Cost Center:
Charge
Credit Card* (skip if card on file)
Credit Card Type*:
Visa
Master Card
American Express
Discover
Diners Club
Credit Card #*:
Exp. Month
Year
Name on Card* (if different than name below):
Your Information
Name:
Company*:
Address 1*:
Address 2*:
City*:
State*:
Zip*:
Direct Phone #*:
Office Phone #*:
Cell Phone #:
E-mail*:
Date of Service
Month
Day
Year
Time of Pickup
Type of Vehicle
# of Passengers:
Special Needs (wheelchair, carseat...):
Pickup Information
Pickup address same as your account address?Yes
Name
of Passenger (skip if same):
Company (skip if same):
Address (for airport skip down):
Landmark:
City:
State:
Zip:
Direct Phone # (cell phone if airport pick-up):
Airport Arrival Information
NOTE: due to airport
security policies, all airport pick ups will be inside
by baggage claim unless indicated otherwise. It is important to provide a cell phone
number in all cases.
Month
Day
Year
Airport:
Airline:
Flight #:
Arrival Time:
# of Passengers:
Pick Up Location
if not by baggage claim:
Destination Information
Destination address same as your
account address?Yes
Address (for airport skip down):
Landmark:
City:
State:
Zip:
Airport Departure Information
Month
Day
Year
Airport:
Airline:
Flight #:
Client Pick Up Time:
Flight Time:
Reservation Confirmation
Please send confirmation for this trip:
E-mail
Phone
Fax
Comments:
If the information in this form is correct, please print it
out for your records
Privacy Notice: Please be advised that E ast
Coast
will use the information submitted for reservation and travel purposes only.
Your credit card and personal information is secure on our server.
|
