Galaxy Courtesy Cars | Booking Form

Ok, so this is our booking form and it's not at all scary! All you have to do is tell us where, and when and we will do the rest. Easy... huh!

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Lead Contact Name*
First Last
Contact Phone Number*
Contact Email*
How would you like to pay?
What kind of a Journey?*
Single = Collect and drop off. (ie from home to Airport, etc)
Return = Collect and Drop off, and return Collect and Drop off. (ie taking you too the airport for a holiday and picking you up on your return)

Single Journey Booking Information
Collection Time*

: HH

MM
Date of Collection*
Where would you like us to pick you up?*
Address Details
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Airport Details
Ok, Which Airport?*
And which Terminal at Gatwick?*
And which Terminal at Heathrow?*
What is your Flight Number?*
Other Airport
Ferry Details
And which Ferry Port*
Vessel Name
Other Ferry
Station Details
Ok, what Station?*
Where would you like us to take you? (please fill in the collection details above first)
Please enter your Destination details here*

Outbound Details
Return Journey Booking Information
Collection Time (outbound)*

: HH

MM
Date of Collection (outbound)*
Outbound Collection*
Outbound Address Details
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Outbound Airport Details
Outbound Airport*
Flight Number
Other Airport
Outbound Terminal at Heathrow?*
Outbound Terminal at Gatwick?*
Outbound Ferry Details
Outbound Ferry Port?*
Vessel Name
Outbound Railway Station Details
Ok what Station*
Inbound Details
Return Journey Booking Information
Collection time (inbound)*

: HH

MM
Date of Collection (inbound)
Inbound Collection*
Inbound Address Details
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Inbound Airport Details
Inbound Airport*
Flight Number*
Other Airport*
Inbound at Heathrow*
Inbound at Gatwick*
Inbound Ferry Details
Inbound Ferry Port*
Vessel Name
Inbound Railway Station Details
inbound Station*

Now choose your car please?*
- Luxurious Saloon
- Spacious Estate
- Executive MPV
Special Request (e.g. Large or Oversize Luggage)
How many cars would you like?*
And how many passengers?*
And finally, we'd just like to know how you found us?
Email
This field is for validation purposes and should be left unchanged.

Single Journey Booking Information