Name *

First Name

Last Name

Pick-up Location *

Please provide the full details on the location address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pick-up Date *

Let us know the date you are travelling with Lexxam.

MM

DD

YYYY

Drop-Off Date

Please specify if booking more than one (1) day.

MM

DD

YYYY

Pick-up Time *

Our Chauffeur will pick you up at this time.

Hour

Minute

Second

AM PM