Name:
Company:
Address:
(NO P.O.
BOX)
City:
State:
-
Zip Code:
Country:
(if
not in the
US)
E-mail:
Phone:
(123.456.6789)
FAX:
(123.456.6789)
2.
How would
you like to
receive your
contract?
By
Fax:
or by
Mail:
(Address
above)
Via
E-mail:
Adobe
Acrobat
needed (Free
Download )
3.
Trip -
Charter
information
Service
Please
Select ...
Sightseeing Tour
Transfer
Hourly
Service
Daily
Charter
Florida
State
Charter
Out
of State
Sightseeing
Please
Select ...
Miami
Fort Lauderdale
Key West
Everglades
Orlando Blitz
Space Center
Naples
#
of hours
(hourly
service
only)
# of days
(One day
service for
single
driver is
from 6 am to
9 pm)
You
anticipate
Number
of
passengers
04 - 14 person
14 - 24 person
24- 49 person
49
- 57
person
57 - 110 person
110 and more
will
be
traveling?
Preferred
Bus
Please
Select ...
Limo
Van up to
14
passengers
Mini Bus up to 24 passengers
Deluxe Motorcoach up to 49 passengers
Deluxe
Motorcoach
up to 57
passengers
Departure
Month
01
02
03
04
05
06
07
08
09
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2014
2015
Pick Up Time
Departure
(Pick Up):
FROM:
Please Select ...
Address
Above
Address
Below
**********
Ft.
Lauderdale
Airport
Ft.
Lauderdale
Seaport
**********
Miami
Airport
Miami
Seaport
**********
Palm
Beach
Airport
Additional
Info
(Hotel,
Cruise ship
name, etc.)
Street
City
State
Flight
Info
(Airport
Service only )
Arrival
(Drop off)
:
TO:
Please Select ...
Address
Below
Ft.
Lauderdale
Airport
Ft.
Lauderdale
Seaport
Miami
Airport
Miami
Seaport
Palm
Beach
Airport
Name
(Hotel,
Airline,
Cruise Line,
etc.)
Address
City
State
4.
Return
service
required ?
Return
Service
Please Select ...
No - Thank you.
Transfer
As
Directed
Preferred
Bus
Please Select ...
Limo
Van up to
14
passengers
Mini Bus up to 24 passengers
Deluxe
Motorcoach
up to 49
passengers
Deluxe
Motorcoach
up to 57
passengers
Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2014
2015
Time
From
(Address
above,
Seaport,
etc.)
To
(Address
above,
Seaport,
etc.)
5.
Any
preferences
and/or
special
requirements
Please
use the
"Note
box"
below for
any
additional
information
regarding
your
charter!