Application

Under Construction

Contact Information

First Name:   Middle Initial:      Last Name: 

Address:  

Home Telephone:  

Cellular Telephone: 

License Information

Driver's License#:           State: 

Taxi/Limousine Driver License #:                                                       

Issuing Town:        State:        

Employment History

Employer                                                                    From                                  To

Availability

Please state the days and times you are available to work below:

Accept Terms of Agreement

Please read the Terms of Agreement. You will need to accept the Terms of Agreement to begin processing your application. By accepting the Terms of Agreement you agree to be bound by them, they govern your rights and the rights of Phoenix Limo Corp with respect to the Contractor Agreement.

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  I have read and agree to the above Terms of Agreement.  I understand that selecting this option constitutes my electronic signature accepting these terms.

  I do not agree with the Terms of Agreement.