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84440001

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Pickup at

Going to

Name

Phone

Email

Date

Pickup time

08:00

Type

One way

Two Way (fixed time)

Two Way (return timing not sure)

Return timing (leave blank if not sure)

Extra passengers

Payment mode

Cash

Paynow

Credit Card

Wheelchair Photo (Optional)

Upload File

Upload supported file (Max 15MB)

Special Instructions

Successful

Call us today on 84440001

Email: wheelchairmaxi@gmail.com

Paynow to UEN: 53395990W

Entity name: WHEELCHAIRMAXI.COM

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