You can always press Enter⏎ to continue
Ft Lauderdale Int. Airport to Miami Hotels
Hi there, please fill out and submit this form.
10
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
3
Email
example@example.com
Previous
Next
Submit
Press
Enter
4
Date
Please type the date of the service needed
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
5
Air line and Flight number
Previous
Next
Submit
Press
Enter
6
Arrival time
for airport pick ups: please type the arrival time of your flight. if you need to set a pickup time please use the comments section at the end of the questionnaire.
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
00
10
20
30
40
50
Minutes
AM
PM
PM
AM
PM
Previous
Next
Submit
Press
Enter
7
Drop off Location: Name and Address of your hotel
Use this form for Hotel within Miami area
Ex: Carnival / Glory
Previous
Next
Submit
Press
Enter
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 $16 p/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= $196
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 $16 p/p= $336
Previous
Next
Submit
Press
Enter
9
Payment Information
Exp Date / Year
Visa
Master Card
Discover
Amex
Visa
Visa
Master Card
Discover
Amex
CC Number
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
Exp Date / Month
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Exp Date / Year
CCV code
Postal Code
Previous
Next
Submit
Press
Enter
10
Comments
Previous
Next
Submit
Press
Enter
Should be Empty:
Ft Lauderdale Int. Airport to Miami Hotels
[Edit]
Question Label
1
of
10
See All
Go Back
Submit
