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XL Transportation
Passenger Information
*Full Name
*Email
*Telephone
Cellular Phone
Trip Itinerary
Pick Up Location
Drop Off Location
*Date
Time
Hour
01
02
03
04
05
06
07
08
09
10
11
12
Minutes
00
05
10
15
20
25
30
35
40
45
50
55
AM
AM
PM
*Vehicle
Select
Taxi
Car
Van
*Number Of People
Bags
*Types Of Services
Select
Airport Transfer
Sightseeing
Night out
Wedding
Prom
Bachelor/ette party
Casino Transfer
Other, as directed
How many hours?
Point to Point Transfer
2 hours
3 hours
4 hours
5 hours
6 hours
7 hours
8 hours
9 hours
10 hours
11 hours
12 hours
Pay by Credit Card
Card Number
Name
Expiration
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Security Code:
Billing Street Address:
City/Town:
Card Types:
Select Card Type
Visa
MasterCard
American Express
Discover
Zipcode/postal code:
By submitting this form you agree that (1) you are the credit card holder and (2) that you are requesting the services listed above and (3) that you are authorizing this card to be used for the requested services. (4) If Passenger fails to show up without a call to us , the full fee will be billed to your credit card . (5) If cancellation is made with less than 24 hours notice before the schedule date and time, the full fee will be billed to your credit card.