<div class="row">
    <div class="col-md-12">
        <h4>Special Shuttle Pick Up
        </h4>
    </div>
    <div class="col-md-4">
        <p>
            * Number of Traveler(s)
            [number* no-Travelers min:1 max:99]
        </p>
    </div>
    <div class="col-md-4">
    	<p>
            Name(s)
            [text onsinger-text-40 class:travelers_name placeholder "e.g. Max, David, Matt" ]
        </p>
    </div>
    <div class="col-md-4">
        <p>Surname(s)
            [text Surname-text-40 placeholder "e.g. Cutt, Gallardo, Cutt"]
        </p>
    </div>
    <div class="col-md-4 ">
        <p>Ship Name
            [text ship-name id:select2_ship_name]
        </p>
    </div>
    <div class="col-md-4">
        <p>Ship #
            [text ship-number id:ship_no_val]
        </p>
    </div>
    <div class="col-md-4">
        <p>* Ship Location
            [select* ship-location class:ship_location]
        </p>
    </div>
    <div class="col-md-4">
        <p>
            * Hotel
            [text* hotel-text-8491]
        </p>
    </div>
    <div class="col-md-4">
        <p>
            * Date
            [date* date-256 id:reservation_date]
        </p>
    </div>
    <div class="col-md-4">
        <p class="input-group clockpicker" data-placement="bottom" data-align="top" data-autoclose="true">* Time
            [text* journey-text-488 class:form-control]
        </p>
    </div>
    <div class="col-md-12">
        <p> Cell Phone
            [tel cellphone-tel-509]
        </p>
    </div>
    <div class="col-md-12">
        <h4> Destination:
        </h4>
    </div>
    <div class="col-md-4">
        <p>Shopping address
            [text address-text-550]
        </p>
    </div>
    <div class="col-md-4">
        <p>Doctors Visit address
            [text Visit-text-5501]
        </p>
    </div>
    <div class="col-md-4">
        <p>Pharmacy address
            [text paddress-text-550]
        </p>
    </div>
    <div class="col-md-4">
        <p>Restaurant address
            [text Restaurant-text-550]
        </p>
    </div>
    <div class="col-md-4">
        <p>Other address
            [text Other-text-5501]
        </p>
    </div>
    <div class="col-md-4">
        <p>Conference address
            [text Conference-text-550]
        </p>
    </div>
    <div class="col-md-12">
        <p>Special Instructions
            [text Special-text-550]
        </p>
    </div>
    <div class="col-md-12">
        <p>Also we provide CC services, with invoiced reimbursements.
            I will need Charge Card Srervices for this run.
            [radio radio-662 default:1 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-12">
        <h4>Return Special Shuttle Pick Up & Destination
        </h4>
    </div>
    <div class="col-md-6">
        <p class=" clockpicker" data-placement="bottom" data-align="top" data-autoclose="true">* Time
            [text* return-journey-text-488 class:form-control]
        </p>
    </div>
    <div class="col-md-6">
        <p>
            * Date
            [date* return-date-256 id:reservation_date]
        </p>
    </div>
    <div class="col-md-6">
        <p> Pick up Address
            [text Pick-text-550]
        </p>
    </div>
    <div class="col-md-6">
        <p> Destination
            [text Destination-text-550]
        </p>
    </div>
    <div class="col-md-12">
        <p>Special Instructions
            [text Return-Destination-text-551]
        </p>
    </div>
   <div class="col-md-4" style="text-align: center;">
        <p>CBP Service
            [radio radio-485 default:2 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-4" style="text-align: center;">
        <p>Gate & TWIC Service
            [radio radio-4855 default:2 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-4" style="text-align: center;">
        <p>Boarding Pass Service
            [radio radio-48555 default:2 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-4">
        <div class="single-contact-field">
            [hidden total_price class:total_price ]
            [submit id:submit class:gauto-theme-btn "Submit"]
        </div>
    </div>
</div>
1
Apple Core Transportation Solutions LLC. "Special Shuttle Schedule"
Apple Core Transportation Solutions LLC. <contact@applecoretrans.sapphiresolutions.net>
darshan.modi@sapphiresolutions.net
<strong>Special Shuttle Pick Up</strong>

Number of Traveler(s): [no-Travelers]

Name(s): [onsinger-text-40]

Surname(s): [Surname-text-40]

Ship Name: [ship-name]

Ship #: [ship-number]

Ship Location: [ship-location]

Hotel : [hotel-text-8491]

Date : [date-256]

Time: [journey-text-488]

Cell Phone : [cellphone-tel-509]

<strong>Destination:</strong>

Shopping address: [address-text-550]

Doctors Visit address: [Visit-text-5501]

Pharmacy address: [paddress-text-550]

Restaurant address: [Restaurant-text-550]

Other address: [Other-text-5501]

Conference address: [Conference-text-550]

Special Instructions: [Special-text-550]

Charge Card Srervices: [radio-662]

<strong>Return Special Shuttle Pick Up & Destination</strong>

Time: [return-journey-text-488]

Date: [return-date-256]

Pick up Address: [Pick-text-550]

Destination : [Destination-text-550]

Special Instructions: [Return-Destination-text-551]

CBP Service: [radio-485]

Gate & TWIC Service: [radio-4855]

Boarding Pass Service: [radio-48555]

Price: [total_price]

Order Id: {order_id}

-- 
This e-mail was sent from a contact form on Apple Core Transportation Solutions LLC. (https://applecoretrans.com/)
Cc: samir.patel@sapphiresolutions.net
Bcc: darshan.modi@sapphiresolutions.net
noReply:darshan.modi@sapphiresolutions.net
Reply-To: darshan.modi@sapphiresolutions.net

1


Apple Core Transportation Solutions LLC. "[your-subject]"
Apple Core Transportation Solutions LLC. <wordpress@onlinenaukrijobs.in>
[your-email]
Message Body:
[your-message]

-- 
This e-mail was sent from a contact form on Apple Core Transportation Solutions LLC. (http://onlinenaukrijobs.in/carvmapple)
Reply-To: victor@dialforweb.com



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