First Name:*

Last Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Country:*

Zip Code:*

Phone Number:*

ex. (555)555-5555

Alternate Phone Number:

Email Address:*

Have you Flown With
Us Before?

Trip Type:

Passenger Information:

Number of Passengers

Passenger 1:
(booking passenger)

Weight:*

Baggage Weight:*

A note about passenger weights:

Weight limits are strictly enforced for safe and legal operation by the FAA. To ensure timely departure of flights, accurate weights of all passengers and baqggage must be gathered to ensure that the weight and balance of the aircraft are in our operating range. We value your privacy and understand this can be a personal question. We ensure you that your private information will remain strictly confidential. Thank you for your cooperation.

Passenger 2:

First Name:

Last Name:

Weight:*

Baggage Weight:*

Passenger 3:

First Name:

Last Name:

Weight:*

Baggage Weight:*

Passenger 4:

First Name:

Last Name:

Weight:*

Baggage Weight:*

Passenger 5:

First Name:

Last Name:

Weight:*

Baggage Weight:*

Depart From:

Departure Date:

• Additional flights may be requested before August 27th or after September 3rd but will not qualify for the BRC Air Shuttle pricing. These flights can be booked through our Standard Booking Form

Requested Departure Time:

• If you are connecting to or from a commercial flight at Reno, please allow a minimum of three hours for your connection.
• Departure times are "estimated requests" and are subject to change and availability.

Depart From:

Depart from Reno

Depart from Black Rock City

Departure Date:

Requested Departure Time:

Comments: