Order Page - Travlex Shuttle

-Medical Appointments- Pickup & Dropoff
-Group Travels
-Winnipeg Mall Pickup & Dropoff
-Wedding Shuttle

Name

First

Last

Email

Phone

Date / Time of Shuttle

Date

Time

Pickup Location

Address Line 1

City

State / Province / Region

Country

Destination

Winkler/Modern/Carman/Altona

Number of Passengers

Check any additional needed items (if needed).

Total to be Charged

$0.00

Credit Card Information (Processed by Square)

Card

Name on Card

Other comments

Confirmation

I acknowledge that I have read and agree to abide by the the Terms and Conditions
I acknowledge that upon submitting this form, my credit card will be charged and order can no longer be canceled