Imperial Transportation PBC Inc.
3114 45th St Suite-10 West Palm Beach FL 33407
TELEPHONE:
(561) 689-3663
FAX:
(561) 689-3036
TOLL FREE:
1-888 369-9852
EMAIL:
impbc001@bellsouth.net
PBCVH153
WE ACCEPT:
What kind of car service would you like?
Town Car
Stretch Limousine
SUV
Taxi
Wheelchair Accessible
What package are your interested in?
Pick-up at the airport
Ride to the airport
Corporate travel/airport
Special Event
Prom
Other service not listed
How many people in your party?
1 person
2 people
3 people
4 people
5 people
6 people
7 people
8 people
9 people
10 people
11-14 people
over 14 people
I'm not sure
Enter the DATE when you need service.
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Return Date
DD: DD/MM/YY
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2009
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2011
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2013
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2015
Return Pick up Address
Return pick up Time
January
February
March
April
May
June
July
August
September
October
November
December
How Many people in the party ( box type )
Please enter your First Name:
Please enter your Last Name:
Please enter your Company Name, if applicable:
Input the origin city/location where the service will pick you up.
(If its the airport, indicate which airport!):
Enter the approximate time of pickup/arrival: (Ex. 9 am)
If you are arriving at the airport,
please indicate your airlines and flight number:
(Example: American Airlines Flight #433)
Input the destination you would like to go.
(If its the airport, indicate which airport!):
Enter your complete e-mail address: (i.e. xxx@aol.com)
Please enter a day time phone number:
Please enter a Night time phone number:
Enter any special comments or instructions here!
PAYMENT INFORMATION
Card Type
-- Select Card Type
Visa
Master Card
American Express
Discover
Card Holder's Name
Card Number
Expiration Date
(
XX
) Month
Year(
XXXX
)
We Accept New Account
Imperial Transportation PBC Inc.
Copyright © 2010 . All Rights Reserved.