| Please fill-out
the form below: |
| Online reservations
must be made at least 24 hours before pick up time. |
| Address
(include city, state & zip code) : |
|
Pick
up location :
(if different from address listed above) |
|
Pick
up date :
day month date year
e.g. Tuesday 6/24/04 |
|
Destination
Name and/or address :
(include city, state & zip code) |
|
Type of transportation requested :
(Contact United Transportation, Inc.
for availability of any transportation
type not listed on this site) |
|
Payment
method : if
using credit card please fill in details |
|
| Special instructions,
additional info : |
|