Transportation Booking A Pair of Ears Travel Name* First Last Phone*Email* Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many people ages 10+ are traveling?*How many children (ages 3-9) are traveling?*How many children under 3 are traveling?*How many pieces of luggage?*Type of Transportation Desired:* Mears Connect Shuttle Mears Express Shuttle (No Wait) Private Transfer (No Wait, Private Vehicle) Other If other is checked above, please explain here.Quoted PriceResort NameArrival Flight InformationArrival Date:* MM slash DD slash YYYY Airline:*Flight Number:*Arrival Time:* : Hours Minutes AM PM AM/PM Departure Flight InformationDeparture Date:* MM slash DD slash YYYY Airline:*Flight Number:*Departure Time:* : Hours Minutes AM PM AM/PM Credit Card InformationName on Card* First Last Billing Zip CodeCard Type:*Choose OneVisaMastercardDiscoverAmerican ExpressCard Number:*Expiration Date:*Payment Amount:*Travel Agent*Does anyone in the party have special mobility needs?* Yes No Are you traveling with any additional equipment? For example, wheelchairs, walker, medical equipment, strollers, etc.Do you need a car seat or booster seat?*For Private Transfers OnlyAny additional comments?I understand I must notify my travel agent of any changes to my flight itinerary.* Yes I authorize APOET to charge the above-referenced card in the amount stated above and by authorizing this charge, I am agreeing to APOET's Terms and Conditions of Booking, which are located by clicking here, including the agency’s and principal supplier policies cancelation and refund policies, which may limit my right to a refund in the event that I choose to cancel or change my plans.Do you agree?* Yes
