May Day Sale .pdf

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Original filename: May Day Sale.pdf
Title: Payment Form
Author: kbrem

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Payment Form
1. Participant’s Full Legal Name:________________________________________________________
Email: _____________________________________________ Phone #: ________________________
2. Participant’s Full Legal Name:________________________________________________________
Email: _____________________________________________ Phone #: ________________________
3. Participant’s Full Legal Name:________________________________________________________
Email: _____________________________________________ Phone #: ________________________

Program Requested: ZERO-G Experience®
Date of the Program:

Payment Options:
1. Personal Check (Drawn on a U.S. bank) or Bank Draft (Cashier’s Check): Must be made payable in US
Dollars to Zero Gravity Corp. – and a U.S. bank must be named on the draft (check).
2. Credit Card Information:

Name on Card

Card Type (Visa, MasterCard, American
Express, Discover)

Credit Card Number

Expiration Date

Security # (3 digits on back of card. AMEX 4
digits on front)

Cardholder’s Signature

Billing Address

City, State, Zip

Phone #

Email

Program Total: $3,960 + 5% tax = $4,158 x ______ = ________________________

4601 North Fairfax Drive, Suite 1200 ● Arlington, VA 22203
Ph: (888) 664-7284 ● Fax: (702) 947-6373
www.gozerog.com ● info@gozerog.com

Terms and Conditions
I hereby agree to the Zero Gravity Corporation (hereinafter referred to as ZERO-G) refund & transfer
policy as stated below:
1. Once a ZERO-G program is purchased, the reservation is nonrefundable and cannot be changed.
However, it is transferable; you may provide the name of the participant taking your place up to five
business days prior to the scheduled program.
2. The purchaser acknowledges that all participants will be required to agree to the terms and conditions of
ZERO-G, will attend all applicable pre-flight training and sign all participant registration forms including a
liability waiver and medical declaration (flight programs only) prior to scheduled program date. In the event
that a participant is unable to meet these terms and conditions, it is the responsibility of the purchaser to
transfer the reservation to a participant who does accept the terms and conditions and notify ZERO-G. The
purchaser also acknowledges that participants are required to adhere to the provided program itinerary.
Flight check-in closes two hours prior to the scheduled departure time. If any participant fails to report on
time with their required government issued identification, they forfeit the flight experience and will not
qualify for a refund or reschedule.
3. ZERO-G has the right to reschedule or cancel a program for any reason. This includes, but is not limited
to: cancelled airspace, mechanical and/or maintenance, and minimum participant requirements. ZERO-G
will inform participants of a rescheduled or cancelled program by written notice as soon as the cancellation
has been confirmed or a rescheduled date is set. ZERO-G will make every attempt to notify participants no
later than ten business days prior to their scheduled flight program or five business days prior to their
scheduled Weightless Workshop. If the program has been rescheduled, the participant has three business
days to choose either a full refund or an alternate scheduled program date. If no choice is made within three
business days the purchaser will forfeit the right to a refund and must participate in the rescheduled
program. If the program has been cancelled, a ZERO-G representative will contact you with options
including a full refund. Refunds will not be issued for reservations made using a ZERO-G Gift Certificate.
4. In the unlikely event that any condition prevents ZERO-G from flying, ZERO-G will make its best effort
to reschedule the flight within 48 hours of the scheduled flight date. If ZERO-G is unable to reschedule a
flight within 48 hours, the purchaser can either receive a full refund or book a seat on any other available
ZERO-G flight within 12 months of the original scheduled flight. The extent of ZERO-G’s liability is
limited to refund of the price paid for the ZERO-G Experience and/or Non-Flyer Package.
5. ZERO-G is not responsible for any expenses incurred by the purchaser or participant due to rescheduled
and/or canceled programs. ZERO-G strongly encourages the purchase of trip cancellation insurance for all
participants.

Signature:________________________________________________ Date:_______________________

4601 North Fairfax Drive, Suite 1200 ● Arlington, VA 22203
Ph: (888) 664-7284 ● Fax: (702) 947-6373
www.gozerog.com ● info@gozerog.com


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