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Privat   Geschäftlich   Business Order
  Company
  Surname
  Firstname
  Cost Center
  Telephone
  E-Mail
Medical transportation
Child seat
Vantaxi (8 pers.)
Taxi ride
Courier ride
Limousine

Pickup AIRPORT / Central Station
Flight-Number / Central Station exit
Mobile phone number for pickup

Departure
  Datum Date
  .   Time
  Street
  City

Destination [ to ...]
  City

Remarks