Setting up Auto Payments

Did you know that Door 2 Door Shuttle offers auto payments. We will charge your account the agreed upon amount on the 10th day of each contracted month.

Parent /Guardian Name

First Name

Last Name

Child(ren) Name(s)

Email Address

We will send you receipts at this address.

Contact Number

(###)

###

####

Notes

What is the Agreed upon Amount?

Please include cost of service and any fuel surcharges that have been discussed. (Base charge covers 2 mile radius then $20 over each 2 miles). You will be charged on the 10th of each month.

$

Card Type

Card Number

Expiration Date

All cards expire on the last day of the month

MM

DD

YYYY

CVC Code

Normally a 3 digit code on the back of your card.