Metro Cars Affiliate Contact Information Form

Please complete the form below to provide Metro Cars with your Affiliate contact information. We will also require a valid certificate of insurance on file prior to assigning any reservations to your company. See below for full details. If you have any questions, contact Paula Mikola at pmikola@metrocars.com

Company Name

Company Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name

First Name

Last Name

Phone

Provide a phone number that Metro Cars Customer Service may call to get rates and book reservations for clients.

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Contact Email

Provide an email address that can be used to request rates or submit booking requests

Billing Email

Provide an email address that can be used for any billing/accounting questions

Airports Serviced

Please provide the name and abbreviation for all airports directly serviced by your company

Major City or Cities Serviced

Please provide the major cities serviced by your company (largest 1 or 2 cities for our reference).

Services Provided

Check all that apply to your company

Luxury Sedan Service

Luxury SUV Service

Limousine Service

Taxi Service

Van Service

Mini-bus / Shuttle Service

Motor Coach Service

I agree to provide a certificate of insurance naming Great Lakes Transportation Holding, LLC as the certificate holder with a minimum of $1,000,000 Commercial General Liability, $1,000,000 Automobile Liability, and my state minimum for Workers Compensation and Employers Liability.

Please email certificate to nationwide@metrocars.com with "Affiliate Insurance Certificate" in the subject line. Certificate Holder should be written as "Great Lakes Transportation Holding, LLC, 24957 Brest Rd, Taylor, MI 48180.

Yes

No