Online Taxi Booking Form FIRST NAME * LAST NAME * PASSENGER PH NUMBER Phone Pickup Address Address Line 1 * Address Line 2 State ZIP Code Destination Address Address Line 1 * Address Line 2 State ZIP Code DATE AND TIME OF PICK UP * FLIGHT NUMBER Taxi Fare * Laguna Beach to LAX – $187 Irvine TO LAX – $177 Dana Point TO LAX – $193 San Clemente To LAX – $215 Oceanside To LAX – $290 San Diego to LAX – $345 LAX to San Diego – $395 LAX to Palm Springs – $510 LAX to Hammet – $400 Huntington Beach to LAX – $168 Select Payment Method Pay with Card (Stripe) Pay with Paypal You did not configure stripe payment gateway. Please configure stripe payment gateway from Paymattic->Settings->Stripe Settings to start accepting payments You did not configure Paypal payment gateway. Please configure paypal payment gateway from Paymattic->Payment Gateway->PayPal Settings to start accepting payments Pay Now Please Wait…