Reservation

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#FFFFFF" TEXT="#080000" background="005785a3.jpg"> <div> <B><IMG SRC="07bd93c0.jpg" border=0 width="473" height="60" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> </div> </td> </tr><tr> <td valign="top" width=125 BGCOLOR="#CC0033" TEXT="#080000"> <div> <IMG SRC="0df6b410.gif" border=0 width="107" height="65" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Home"><IMG SRC="09366160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="orlando_transportation.htm" TARGET="_top" TITLE="Fleet"><IMG SRC="09266160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="orlando_transportation11.htm" TARGET="_top" TITLE="Rates"><IMG SRC="08f66160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="orlando_transportation3.htm" TARGET="_top" TITLE="Reservation"><IMG SRC="09066160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="orlando_transportation4.htm" TARGET="_top" TITLE="About Us"><IMG SRC="08d66160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="orlando_transportation5.htm" TARGET="_top" TITLE="Contact Us"><IMG SRC="08e66160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="orlando_transportation6.htm" TARGET="_top" TITLE="Terms Conditions"><IMG SRC="09166160.gif" border=0 width="102" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <bR> <div> <IMG SRC="0e062430.jpg" border=0 width="98" height="67" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> <td valign="top" height=390 width="100%" BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <B>Reservation</B></div> <div> <B> <TABLE BORDER="5" CELLPADDING="5" CELLSPACING="10" WIDTH="806" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" BGCOLOR=#EEEEEE > <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#000000 HEIGHT= 114 ><NOBR><div> <B><IMG SRC="1cd7d6b0.gif" border=0 width="125" height="107" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><IMG SRC="170ab6b0.png" border=0 width="171" height="107" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><IMG SRC="1ce936c0.png" border=0 width="147" height="108" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><IMG SRC="1d0996b0.jpg" border=0 width="153" height="107" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><IMG SRC="1cf9f6d0.jpg" border=0 width="159" height="109" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#111111 HEIGHT= 1126 ><NOBR><div> <IMG SRC="102c2250.jpg" border=0 width="450" height="293" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <IMG SRC="14cc3d90.jpg" border=0 width="451" height="473" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <IMG SRC="14ebf2a0.jpg" border=0 width="447" height="298" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> Thank you for visiting our Web site. please give us a call at : </div> <div> <B>407-832-6421</B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#CC0033 WIDTH="293"><bR> <div> <B>Get your Quote Today!</B></div> <bR> <div> Please fill out the following form to make a Reservations,If you have any other questions regarding our rates , service.</div> <div> <B> <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Name,Address,Phone,Fax,Email address (Required),MailingList,Date of Service,Select Vehicle,Pick up Location,Destination,Passenger Count,Please provide Itinerary,Credit Card,Credit Card Number,Exp. Date"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for Choosing Cross Roads Orlando Finest Transportation Company. Your request for a Quote has been summitted you will recieve a comformation via email with in 24 hours of your summittion."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A Request Form was Submitted For A Town Car"><input type="hidden" name="tlx_EmailTo" value="info@xroadsfl.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name: <br> <input type="text" name="Name" size="20" maxlength="50"> </td> </tr> <tr> <td align="left">Address: <br> <input type="text" name="Address" size="35" maxlength="100"> </td> </tr> <tr> <td align="left">Phone Number: <br> <input type="text" name="Phone" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">Fax Number: <br> <input type="text" name="Fax" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">Email address (Required): <br> <input type="text" name="Email address (Required)" size="20" maxlength="50"> </td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Date of Service: <br> <input type="text" name="Date of Service" size="10" maxlength="10"> </td> </tr> <tr> <td align="left">Select Vehicle: <br> <select name="Select Vehicle"> <option value="Select one">Select one</option><option value="Motorcoach">Motorcoach</option><option value="Mini Bus">Mini Bus</option><option value="Limousine">Limousine</option><option value="Van">Van</option><option value="Towncar">Towncar</option> </select> </td> </tr> <tr> <td align="left">Pick up Location: <br> <input type="text" name="Pick up Location" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Destination: <br> <input type="text" name="Destination" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Passenger Count: <br> <input type="text" name="Passenger Count" size="5" maxlength="100"> </td> </tr> <tr> <td align="left">Please provide Itinerary: <br> <textarea name="Please provide Itinerary" rows="3" cols="20"></textarea> </td> </tr> <tr> <td align="left">Credit Card: <br> <select name="Credit Card"> <option value="Select one" selected>Select one</option><option value="Visa">Visa</option><option value="Master Card">Master Card</option><option value="American Express">American Express</option><option value="Discover">Discover</option> </select> </td> </tr> <tr> <td align="left">Credit Card Number: <br> <input type="text" name="Credit Card Number" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Exp.Date: <br> <input type="text" name="Exp. Date" size="10" maxlength="10"> </td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </B></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="191ae1f0.gif" border=0 width="174" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> When you are finished, click the 'Submit' button to send us your message. You will see a confirmation below.</div> <div> <B><IMG SRC="150172c0.jpg" border=0 width="279" height="44" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </tD> </tR> </TABLE></B></div> <bR> </td> </tr></table></body>