Vital Transportation INC. Vital Transportation INC. Vital Transportation INC. Vital Transportation INC.
Need to order a car? Need help?
Call 718-472-2800 - OR - 1-800-GO-VITAL !

Email Order

With eReservation -
You have 2 options
:
Logo

Please complete all sections. All fields with an asterisk * must be filled in.

Account Info

* Account Number#:

* Account Name:

* Office Phone#:

VIP or Profile #:


Company Requirements: (If none, leave blank.)

Example: "Client/Matter = 1234567 / Empoyee # = 12345 / Dept # 1234"

Company Requirement 1:

Company Requirement 2:

Company Requirement 3:

Vehicle Type and How many

* What type of of vehicle are you requesting?:

(SUVs / VANS / LIMOS / BUSES require 24 hour notice, additional pricing)

* How many cars for this pick up?:

* How many passengers?:

Passenger Name and Pickup Time/Date

* Last name of passenger:

* First name of passenger:

* Is this you? If not please give your name (First,Last):

* Passenger Phone #:

* This will be the # we use for text confirmations. *

* Is this a cell phone?:   


* Requested pickup DATE
  ( Ex: MM / DD / YY ):

* Requested pickup TIME
  (Ex:7 PM,11:30 AM) :

* Select time from list or just type it in *

Pickup and Destination Address

Pickup address:

Name of building (Optional):

* Building # or Airport Name:

* Street address or Airline name:

* Town/City/ZIP - or - Flight # & Departure City:

* Pickup point (on which sctreet) / Curbside / Baggage / Customs:



Destination address:

Name of building (Optional):

* Building # or Airport Name or AS DIRECTED:

Street address:

Town/City & ZIP:

Contact and Confirmation

* Email Address:

* Verify Email Address:

* Preferred Confirmation Method:

Email:

Phone:

Text:
(See driver on a map)


* NOTE * - You can select more than one confirmation option.

The TEXT Option will allow you to see your driver in REAL TIME via a web link sent to your smartphone. No need to download any app or software!

Finalize

Is this a credit card account?

Yes:No:

Is the credit card on file?(Linked to profile/VIP?)

Yes:No:

Please enter Credit Card # and Expiration Date:

Credit Card #:
Exp Date:

Additional Notes or Options:

Example: Round Trip / Multiple Stops / Luggage Quantity / Special Instructions Ect...



If you would like Credit Card info on file:

Please download a CC profile form here and email it to LindaMarie@govital.com

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Vital Transportation Inc. All Rights Reserved.
41-24 38th Street Long Island City, NY 11101

Dispatch: 718-472-2800 | Office: 718-472-2500 | Toll Free 1-800-GO-VITAL | Fax: 718-472-2899