KHODA CORP.   dba

MGM TRANSPORTATIONS      Home Page        Fax Reservation Form, Please Print & Fax it to us.

Date:                                                      Day:                                  Pick-up Time (am/pm):                    

Name of the Passenger(s):                                                                                                                       

Number of Passenger(s):                                    Vehicle Requested:                                                                

Pick-Up Address:                                                                                                                                   

Pick-Up Phone #:                                                                                                                                    

Pick-Up Airport:                                                                                                                                         

Carrier or FBO:                               Flight#:               Arriving From:                                                       

Tail#(if applicable):                                             Arriving Time (am/pm):                                                

Destination 1:                                                                                                                                          

Destination 2:                                                                                                                                          

Destination 3:                                                                                                                                          

Drop off Time:                     Address:                                                                                                    

Drop of airport:                                                                                                                                      

Carrier or FBO:                             Flight#:                    Arriving City:                                                     

Tail#:(if applicable):                                 Departing Time (am/pm):                                                         

Special Instructions or requests:                                                                                                              

Name of the person making this reservation:                                                                                           

Name of the person (s) who can authorize additional service:                                                                   

Phone Number:                                                                  

Fax Number:                                                                     

Company name:                                                                                                                                   

Card Number:                                                                Type:                                  Exp:                    

Name on the credit card:                                                                                                                      

Billing address:                                                                                                                                     

City:                                                            state:                                              Zip code:                   

Card holder signature: