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Port Everglades to Miami Hotels
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10
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1
Name
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First Name
Last Name
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2
Phone Number
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Area Code
Phone Number
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3
Email
example@example.com
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4
Date
Please type the date of the service needed
-
Date
Month
Day
Year
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5
Cruise Line / Ship
Ex: Carnival / Sunrise
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6
Pick Up Time
1
2
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5
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12
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2
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Hour
00
10
20
30
40
50
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10
20
30
40
50
Minutes
AM
PM
AM
AM
PM
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7
Drop off Location:
Please type the name of the hotel and address
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8
Qty of passengers and service price
2 passengers $85 (Private Service)
3 Passengers $85 (Private Service)
4 passengers $85 (Private Service)
5 passengers $85
6 passengers $16p/p = $96
7 passengers $16 p/p = $112
8 passengers $15 p/p = $120
9 passengers $15 p/p = $135
10 passengers $14 p/p= $140
11 passengers $14 p/p= $154
12 passengers $14 p/p= $168
13 passengers $14 p/p= $182
14 passengers $14 p/p= $196
15 passengers $14 p/p= $210
16 passengers $14 p/p= $224
17 passengers $14 p/p= $238
18 passengers $14 p/p= $252
19 passengers $14 p/p= $266
20 passengers $14 p/p= $280
21 passengers $14 p/p= $294
22 passengers $14 p/p= $308
23 passengers $14 p/p= $322
24 passengers $14 p/p= $336
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9
Comments
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10
Payment Information
Exp Date / Year
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Visa
Master Card
Discover
Amex
Visa
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Visa
Master Card
Discover
Amex
CC Number
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February
March
April
May
June
July
August
September
October
November
December
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Please Select
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Exp Date / Month
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2018
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Exp Date / Year
CCV Code
Postal Code
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