Please enter the following information.
Fields marked with * are mandatory to be filled up.


CUSTOMER INFORMATION
Organization Name : *
Organization Type : *
Contact Name : *
Position/Role :
State : *
Address : *
Phone : *
Fax : *
Email : *
Zip code : *
TRIP / EVENT INFORMATION
  Pick-up Location
Address : *
City : *
State : *
  Destination Location
Address : *
City : *
State : *
Trip Event Date [Month//Day/Year] : / /
Depart Time (Group pickup time) : A.M. P.M.
Arrival \ Event Start Time (Destination) : A.M. P.M.
Departure Time (From Destination)
(What time your event is over)
 A.M. P.M.
Return Date (From Destination)
(Date you expect to return home)
 / /

Group SIze (No. of Passenger) : *

 Adult
 Children under 12
No. of Bus Requested :
Flight No :  
Do you require storage of luggage or large particles :   Yes    No
Do you require multiple up & drop off :   Yes    No
Do you require shullte service :   Yes    No
ADDITIONAL INFORMATION
How did you hear about CEC?
Prefferd method of payment?
Comment Box :
           
Copyright © 2007 California Express Charter. All Rights reserved.
Designed and Hosted by www.wserve.com