S&T Services, LLC 11417 FM 1625 Creedmoor, TX 78610 (512) 472-4711 Booking Information Form CONTACT INFORMATION NAME: ____________________________ COMPANY: __________________________ ADDRESS: __________________________________________________________________ PHONE: _____________________________ EMAIL: ______________________________ DEPARTURE AND ARRIVAL INFORMATION DEPARTURE LOCATION (Airport, Address or GPS Coordinates): _____________________________________________________________________________ DATE: __________ TIME: __________ Check Box for Flexible Departure Time ARRIVAL LOCATION (Airport, Address or GPS Coordinates): ____________________________________________________________________________ DATE: __________ TIME: __________ Check Box for Flexible Arrival Time PASSENGER INFORMATION NAME: NAME: NAME: NAME: NAME: NAME: _____________________________ WEIGHT W/ CARRY ON: __________________LBS _____________________________ WEIGHT W/ CARRY ON: __________________LBS _____________________________ WEIGHT W/ CARRY ON: __________________LBS _____________________________ WEIGHT W/ CARRY ON: __________________LBS _____________________________ WEIGHT W/ CARRY ON: __________________LBS _____________________________ WEIGHT W/ CARRY ON: __________________LBS EMERGENCY CONTACT NAME: ________________________ PHONE: __________________ SPECIAL REQUESTS OR ADDITIONAL INSTRUCTIONS: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ BILLING INFORMATION CREDIT CARD #: ______________________________ EXP: __________ CCV: ___________ NAME: _____________________________________ BILLING ADDRESS: ____________________________________________________________ CITY: ________________________ STATE: __________ ZIP CODE: ____________________ E-mail completed form to [email protected] or FAX to (512) 707-9595. Charter flights operated by STS VIP Helicopter Services, Certificate # 9BNA0570
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