EIZY INTERNATIONAL PTE LTD
7500A Beach Road #04-324 The Plaza Singapore 199591 Tel: +65-6554 3940 Fax: +65-6452 0322

 Co. Reg. No.: 200501454W
 Type of Services Required
  Please select one of the following services:
   
One Way Transfer Disposal / Hourly 2 Way Transfer
  Departure    Arrival
Contact Info
Title  
:
    
  First Name  
:
    
  Last Name  
:
    
  Company  
:
    
  Address  
:
    
  Email  
:
    
  Contact No. :  (please include country and area code)  
 
Office
  
:
    
 
Mobile
  
:
      
 
Home
  
:
      
  Date  
:
  
   
  Flight No  
:
     (eg SQ323, KL837)  
  Flight Time  
:
     (in hour eg 0900, 1330, 2359)  
 Section One
  Hourly Booking - Minimum of 3 hours (eg for sightseeing, leisure trips, etc)
One Way Transfer (eg single destination to city, hotel, exhibition hall, etc)
Out Bound Trip to Malaysia
  Pick-up Time  
:
   am   pm  
  Pick-up Point  
:
    
  Pick-up Date  
:
  
 
  Destination / Drop Off Point  
:
    
 Section Two
 Transfer Service Booking Done by (if different from passenger)
  Name  
:
    
  Email  
:
    
  Contact No. :  (please include country and area code)  
 
office
  
:
    
 
Mobile
  
:
    
 
Home
  
:
    
 Section Three
  Type of Vehicles Required  
:
    
  Extra Service Required  
:
   Reconfirmation service before pickup
 Time: am pm  Contact No. 		 
          Per Extra Stop (Chargeable)
        (Only applicable to stops en route to final destination) 		 
           
 Section Four
  Mode of Payment  
:
 :  
  Important Note: For booking of Arrival Transfer, payment must be made by Credit Card/Charge Card only.
  Full Name (as in Card)  
:
    
  Card Number  
:
    
  Expiry Date  
:
   /   (MM / YYY)  
  Remarks  
:
    
          Fields marked in blue are mandatory  
             
         

 

 

 
 
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