Hire Car Drivers Form - Letter Of Authority

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Hire   C ar   D rivers   F orm   –   L etter   o f   A uthority  
Please   c omplete   t his   f orm   a nd   s end   b ack   t o   W orldSport    
via   f ax:   + 61   7   5 545 1935   o r email:  
i
.au  
One   f orm   f or   e ach   d river   i s   c ompulsory    
Copy   o f   D rivers   L icence   r equired  
Copy   o f   C redit   C ard   ( Front   a nd   b ack)   r equired    
School     /   C lub:__________________________________________________________________  
Drivers   N ame:__________________________________________________________________  
Drivers   A ddress:   _ _______________________________________________________________  
City:   _ _________________________   S tate:   _ ________________   C ountry:   _ ________________  
Drivers   M obile   C ontact:   _ _________________________________________________________  
Driver’s   L icense   N umber:   _ _____________________   S tate:   _ ___   E xpiration:   _ ___/____/______  
Driver’s   C lass   o f   L icence   ( Eg   M R,   C   ) :   _ ___________________       D ate   o f   B irth:   _ ___/____/______  
Cardholders   N ame:   _ _____________________________________________________________  
Relationship   o f   D river   t o   C ardholder:________________________________________________  
Credit   C ard:       V isa   [ __]   M aster   C ard   [ __]  
Credit   C ard   N umber:   _ ___________________________________________________________    
Expiration   D ate:   _ ___/____/______   S ecurity   C ode:   _ _____  
I   h ereby   a uthorize   m y   c redit   c ard   t o   b e   c harged   f or   a ll   a dditional   c osts   i ncurred   f or   t he   p urpose  
of   r enting   a   v ehicle   t hrough   W orldSport   P ty   L td.   I   a lso   a cknowledge   I   a m   a uthorized   t o   u se   t his  
credit   c ard   t o   r ent   v ehicles   a nd   t hat   t he   d river   w ill   a ct   a s   m y   a gent   i n   r espect   t o   t his   r ental.  
______________________________________________________________________________  
Hire   C ar   D river  
 
 
 
 
 
 
 
 
Date  
______________________________________________________________________________  
Cardholder  
 
 
 
 
 
 
 
 
 
Date  

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