Secure Online Booking Form
*
Required Field
Passenger's Full Name:
*
Company Name:
E-mail address:
*
Alternate e-mail address:
(recommended)
Your home telephone number:
*
Phone No. in China :
Name for the greeting sign:
How many people traveling?
*
How many pieces of luggage?
*
Is there a number the driver can contact you on just prior to pick up?
Airport Pick Up?
Yes
No
*
Arrival Airport:
Hongqiao Airport
Pudong Airport
Airport
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Coming from:
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Flight number:
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Arrival date:
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day
JAN
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MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
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month
2010
2011
2012
2013
yr
*
Arrival time:
*
Car type:
Passat
Buick Regal GL
Audi A6
Mercedes S350/S320
BMW 760/745
Buick GL8
Mercedes MB100
Toyota Coaster
Car Type
*
Address on arrival (including Phone No.):
*
Hotel Pick Up?
Yes
No
*
Date of pick up:
1
2
3
4
5
6
7
8
9
10
11
12
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16
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29
30
31
*
day
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
*
month
2010
2011
2012
2013
yr
*
Time of pick up:
1
2
3
4
5
6
7
8
9
10
11
12
*
hour
00
15
30
45
*
minute
AM
PM
*
Pick up address & Phone No.
*
Drop off address & Phone No.
Car type:
Passat
Buick Regal GL
Audi A6
Mercedes S350/S320
BMW 760/745
Buick GL8
Mercedes MB100
Toyota Coaster
Car Type
*
Duration car is required:
*
Expected itinerary if known:
Pick up from other location :
Yes
No
*
Date of pick up:
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
*
day
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
*
month
2010
2011
2012
2013
yr
*
Time of pick up:
1
2
3
4
5
6
7
8
9
10
11
12
*
hour
00
15
30
45
*
minute
AM
PM
*
Description details :
Other services required:
English Speaking Guide
Accredited Interpreter/Translator
Mobile Phone Rental
Special requirements / instructions:
This site uses SSL (Secure Sockets Layer) Encryption Technology to protect your Privacy
Cardholder's name:
*
Credit Card No.
-
-
-
*
Security Code:
*
Credit Card type:
Mastercard
Visa
Amex
*
Expiry Date:
2010
2011
2012
2013
2014
2015
2016
2017
2018
Yr
01
02
03
04
05
06
07
08
09
10
11
12
month
*
Credit Card Billing Address:
Street:
*
Suburb / Town:
*
State:
*
Country:
*
Zip code:
*