Affiliate Request Form
Your Name
*
Company Name and Address
E-mail
*
Phone number
*
Your Federal Tax ID / EIN number
*
Are all your vehicles 2015 or newer? YES or NO
*
Comments or Other Location
After you receive our confirmation email please email the following information to :
* W9 form
* Copy of VOID check for payment confirmation
* Amended COI (Certificate of insurance) listing the following:
Black Worldwide Transportation
3235 Bethesda Park Ct Lawrenceville, GA 30044
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My Status
Name
*
E-mail
*
Phone number
*
My Status
I am ready for pickup
I am in customs
I am waiting for luggage
Running 10 minutes late
Running 15 minutes late
Running 20 minutes late
Running 25 minutes late
Running 30 minutes late
Other (see comments)
Comments
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BWT
Reservation History
Status Notification
Driver Feedback
About Us
Promotions
Register
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Register
First Name
*
Last Name
*
Email
*
Phone Number
*
Quote Tool
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To
Do you wish to make the reservation?
Yes
No
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Reservation
Name
*
E-mail
*
Phone number
*
Pickup date
*
Pickup time
*
Pick-up Location
Drop-off location
Price
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Travel History
Make another reservation without typing. Click on any of your old reservations and simply change your date/time.
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About us
You can add a description of your business in your dashboard.
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Coupons
You can add a description of your business in your dashboard
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Feedback
Name
*
E-mail
*
Phone number
*
Rate your driver
Excellent
Above Average
Average
Below Average
Poor
Driver's name
*
Comments
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Reservations
Thanks!
Your message has been received. Please wait for the confirmation within 24 hours. If you do not receive the confirmation, please call us.
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Reservations
Thanks!
Your message has been received.
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Reservations
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There was a problem sending your message. Please make sure you fill in all the fields in the form.