"EZ TRAIN" REQUEST FORM
Bundle your hotel stay, daily transportation, and all student meals into one simple payment. Our $225/night rate includes your hotel room, transportation to and from the airport and training center, breakfast and lunch each day, and a $30 meal card each evening for dinner. Please note: cancellations may result in the loss of some or all funds.
Student Name
*
First Name
Last Name
Class Start Date
*
-
Month
-
Day
Year
Date
Student Arrival Date
*
-
Month
-
Day
Year
Date
Student Departure Date
*
-
Month
-
Day
Year
Date
Student Cell Phone Number (For Uber Ride Scheduling)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dealer Contact Name (For Payment)
*
First Name
Last Name
Dealer Name and Location
*
Dealer Address
*
Dealer Contact Email
*
example@example.com
Dealer Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Method of Payment
*
Fleetcharge
Credit Card
AR Account
Total Due
*
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McCandless "EZ Train" Daily Rate
Per diem pricing of hotel accommodations, daily transportation and all meals
$225.00
$
225.00
Number of Nights
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Item subtotal:
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Submit
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