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