Lim Ousine Services
(MA0161615-T)
Order Form
Enquiry Number: +60126395679
Fax Number: +6063171992
Other Services or Non A'Port Transfer
Please fill in the form below for the Other Services or Non A'Port Transfer:
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Date & Time Of Transfer (24-Hour Format)
*
HH
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
MM
00
01
15
30
45
59
AM/PM
AM
PM
Total Number Of Passengers
*
Greeting
-- Select --
Mr.
Mrs.
Miss
Dr.
Prof.
Datuk
Datin
Passenger Name(s) (at least one name)
*
Passenger Contact No. (at least one contact no, local or oversea)
*
Select Country Code
Email Address (Please key in one email address only)
*
C.C. to others Email Address (Optional)
(Please put comma for multiple email users,a copy of service order email will be sent to the email address)
VehicleCategory
*
NormalCar
LuxuryCar
MiniMPV
NormalMPV
SuperMPV
SuperVIPMPV
NormalVAN
SuperVAN
SuperBIGVAN
Venue(s) to Pick-up
*
Venue(s) to Drop-off (Hotel, Factory , Building full name or House full address(es) ...)
*
Payment Details
Ordered By Company Staff Name (Corporate Account Only)
*
"-" for non-corporate account
Payment Term (Corporate Account Only)
*
Cash
Term
Remark (Optional)
P/S: You and / or passenger(s) shall received the Car&Driver detail via WhatsApp/SMS/Wechat/Email/Fax/Line/Viber...by 1 day before & before 2101pm from your journey start-off.
Attachment File (Optional):
Submit
