www.adamslimo.com
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URL:
http://www.adamslimo.com/reservationss.php
Submission: On March 20 via manual from CA — Scanned from CA
Submission: On March 20 via manual from CA — Scanned from CA
Form analysis 2 forms found in the DOM
Name: take —
<form name="take" class="frm_mg_lf">
<table border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td width="100%"><select name="take2" size="5">
<option selected="" value="http://adamslimo.com/Essex_county_nj_limo_car_service.php">Essex County Rates</option>
<option value="http://adamslimo.com/Bergen_county_nj_limo_car_service.php">Bergen County Rates</option>
<option value="http://adamslimo.com/Hunterdon_county_nj_limo_car_service.php">Hunterdon County Rates</option>
<option value="http://adamslimo.com/Middlesex_county_nj_limo_car_service.php">Middlesex County Rates</option>
<option value="http://adamslimo.com/Morris_county_nj_limo_car_service.php">Morris County Rates</option>
<option value="http://adamslimo.com/New_jersey_somerset_county_nj_limo_car_service.php">Somerset County Rates</option>
<option value="http://adamslimo.com/Sussex_county_nj_limo_car_service.php">Sussex County Rates</option>
<option value="http://adamslimo.com/Union_county_nj_limo_car_service.php">Union County Rates</option>
<option value="http://adamslimo.com/New_jersey_warren_county_nj_limo_car_service.php">Warren County Rates</option>
</select>
<script>
<!--
function taking() {
location = document.take.take2.options[document.take.take2.selectedIndex].value
}
//
-->
</script>
</td>
</tr>
<tr>
<td width="100%">
<div align="center">
<center>
<p><input type="button" value="Take Me There!" name="B1" onclick="taking()"></p>
</center>
</div>
</td>
</tr>
</tbody>
</table>
</form>POST reservation3.php
<form action="reservation3.php" method="post">
<div class="row frm-inner-styl">
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> First Name </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" class="form-control" name="First" placeholder="First Name">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Last Name </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" class="form-control" name="Last" placeholder="Last Name">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Email </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" class="form-control" name="Email" placeholder="Email">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Cell Phone </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" class="form-control" name="Phone1" placeholder="Cell Phone">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Home Phone </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" class="form-control" placeholder="Phone2" name="Phone2">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Type of Vehicles </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="TypeofVehicles" class="form-control">
<option value="7 Passenger SUV" selected=""> 7 Passenger SUV </option>
<option value="14 Passenger VAN" selected=""> 14 Passenger VAN </option>
<option value="3-4 Passenger Lincoln Towncar" selected=""> 3-4 Passenger Lincoln Towncar </option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-xs-11 col-sm-4 col-md-6 col-lg-4 "> Number of Passenger </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="PassNum" class="form-control">
<option value="14 Passengers" selected="">14 Passengers </option>
<option value="13 Passengers" selected="">13 Passengers </option>
<option value="12 Passengers" selected="">12 Passengers </option>
<option value="11 Passengers" selected="">11 Passengers </option>
<option value="10 Passengers" selected="">10 Passengers </option>
<option value="9 Passengers" selected="">9 Passengers </option>
<option value="8 Passengers" selected="">8 Passengers </option>
<option value="7 Passengers" selected="">7 Passengers </option>
<option value="6 Passengers" selected="">6 Passengers </option>
<option value="5 Passengers" selected="">5 Passengers </option>
<option value="4 Passengers" selected="">4 Passengers </option>
<option value="3 Passengers" selected="">3 Passengers </option>
<option value="2 Passengers" selected="">2 Passengers </option>
<option value="1 Passenger" selected="">1 Passenger </option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Pickup Date </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="service_month" class="form-control pickup-input">
<option value="0" selected="">Month </option>
<option value="1">Jan </option>
<option value="2">Feb </option>
<option value="3">Mar </option>
<option value="4">Apr </option>
<option value="5">May </option>
<option value="6">Jun </option>
<option value="7">Jul </option>
<option value="8">Aug </option>
<option value="9">Sep </option>
<option value="10">Oct </option>
<option value="11">Nov </option>
<option value="12">Dec </option>
</select>
<span class="pickup-slash">/</span>
<select name="service_day" class="form-control pickup-input">
<option value="00" selected="">Day </option>
<option value="01">1 </option>
<option value="02">2 </option>
<option value="03">3 </option>
<option value="04">4 </option>
<option value="05">5 </option>
<option value="06">6 </option>
<option value="07">7 </option>
<option value="08">8 </option>
<option value="09">9 </option>
<option value="10">10 </option>
<option value="11">11 </option>
<option value="12">12 </option>
<option value="13">13 </option>
<option value="14">14 </option>
<option value="15">15 </option>
<option value="16">16 </option>
<option value="17">17 </option>
<option value="18">18 </option>
<option value="19">19 </option>
<option value="20">20 </option>
<option value="21">21 </option>
<option value="22">22 </option>
<option value="23">23 </option>
<option value="24">24 </option>
<option value="25">25 </option>
<option value="26">26 </option>
<option value="27">27 </option>
<option value="28">28 </option>
<option value="29">29 </option>
<option value="30">30 </option>
<option value="31">31 </option>
</select>
<span class="pickup-slash"> /</span>
<select name="service_year" class="form-control pickup-input">
<option value="2023" selected="">2023 </option>
<option value="2024">2024 </option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Pickup Time </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="Hour" id="Hour" class="form-control pikup-float-w">
<option value="Hour" selected="">Hour </option>
<option value="00 a.m.">00 a.m. </option>
<option value="01 a.m.">01 a.m. </option>
<option value="02 a.m.">02 a.m. </option>
<option value="03 a.m.">03 a.m. </option>
<option value="04 a.m.">04 a.m. </option>
<option value="05 a.m.">05 a.m. </option>
<option value="06 a.m.">06 a.m. </option>
<option value="07 a.m.">07 a.m. </option>
<option value="08 a.m.">08 a.m. </option>
<option value="09 a.m.">09 a.m. </option>
<option value="10 a.m.">10 a.m. </option>
<option value="11 a.m.">11 a.m. </option>
<option value="12 p.m.">12 p.m. </option>
<option value="01 p.m.">01 p.m. </option>
<option value="02 p.m.">02 p.m. </option>
<option value="03 p.m.">03 p.m. </option>
<option value="04 p.m.">04 p.m. </option>
<option value="05 p.m.">05 p.m. </option>
<option value="06 p.m.">06 p.m. </option>
<option value="07 p.m.">07 p.m. </option>
<option value="08 p.m.">08 p.m. </option>
<option value="09 p.m.">09 p.m. </option>
<option value="10 p.m.">10 p.m. </option>
<option value="11 p.m.">11 p.m. </option>
</select>
<select name="Minute" id="Minute" class="form-control pikup-float-w">
<option value="Minute" selected="">Minute </option>
<option value="00">00 </option>
<option value="05">05 </option>
<option value="10">10 </option>
<option value="15">15 </option>
<option value="20">20 </option>
<option value="25">25 </option>
<option value="30">30 </option>
<option value="35">35 </option>
<option value="40">40 </option>
<option value="45">45 </option>
<option value="50">50 </option>
<option value="55">55 </option>
</select>
</div>
</div>
</div>
<!---- END OF FIRST INNER STYLE ------====-->
<h5 class="text-align-left">PICKUP FROM</h5>
<div class="row frm-inner-styl">
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Full mailing address or other </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="radio" name="Pickupfrom" class="input-radio-style" value="Mailing address/ other">
<input name="mailingaddress" class="form-control m-width" type="text" size="74" placeholder="Mailing Address">
</div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4">
<h5 class="clearfix">OR<input type="radio" name="Pickupfrom" value="Select an Airport" style="margin: 7px 12px;"></h5>
</div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Select an Airport </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="Airport" size="1" class="form-control">
<option value="" selected="">
</option>
<option value="Newark Airport">Newark Airport </option>
<option value="Laguardia Airport">Laguardia Airport </option>
<option value="JFK Airport">JFK Airport </option>
<option value="Philadelphia Airport">Philadelphia Airport </option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Airline </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" name="Airline" size="15" class="form-control">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Flight # </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input name="Flight" type="text" size="5" class="form-control">
</div>
</div>
</div>
<!---===== END OF PICKUP FROM ===---->
<h5 class="text-align-left">DROP OF LOCATION</h5>
<div class="row frm-inner-styl">
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Full mailing address or other </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="radio" name="Pickupfrom1" class="input-radio-style" value="Mailing address/ other">
<input name="mailingaddress2" class="form-control m-width" type="text" size="74" placeholder="Mailing Address">
</div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4">
<h5 class="clearfix">OR<input type="radio" name="Pickupfrom1" value="Select an Airport" style="margin: 7px 12px;"></h5>
</div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Select an Airport </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="select" size="1" class="form-control">
<option value="" selected="">
</option>
<option value="Newark Airport">Newark Airport </option>
<option value="Laguardia Airport">Laguardia Airport </option>
<option value="JFK Airport">JFK Airport </option>
<option value="Philadelphia Airport">Philadelphia Airport </option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Airline </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input type="text" name="Airline2" size="15" class="form-control">
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4"> Flight # </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<input name="Flight2" type="text" size="5" class="form-control">
</div>
</div>
</div>
<!---===== END OF drop of location ===---->
<h5 class="text-align-left">ROUND TRIP / RETURNING INFORMATION:</h5>
<div class="row frm-inner-styl">
<div class="form-group">
<div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
<textarea name="RoundTrip" cols="64" rows="2" class="form-control" id="textarea4"></textarea>
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Pickup Date </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="service_month1" class="form-control pickup-input">
<option value="0" selected="">Month </option>
<option value="1">Jan </option>
<option value="2">Feb </option>
<option value="3">Mar </option>
<option value="4">Apr </option>
<option value="5">May </option>
<option value="6">Jun </option>
<option value="7">Jul </option>
<option value="8">Aug </option>
<option value="9">Sep </option>
<option value="10">Oct </option>
<option value="11">Nov </option>
<option value="12">Dec </option>
</select>
<span class="pickup-slash">/</span>
<select name="service_day1" class="form-control pickup-input">
<option value="00" selected="">Day </option>
<option value="01">1 </option>
<option value="02">2 </option>
<option value="03">3 </option>
<option value="04">4 </option>
<option value="05">5 </option>
<option value="06">6 </option>
<option value="07">7 </option>
<option value="08">8 </option>
<option value="09">9 </option>
<option value="10">10 </option>
<option value="11">11 </option>
<option value="12">12 </option>
<option value="13">13 </option>
<option value="14">14 </option>
<option value="15">15 </option>
<option value="16">16 </option>
<option value="17">17 </option>
<option value="18">18 </option>
<option value="19">19 </option>
<option value="20">20 </option>
<option value="21">21 </option>
<option value="22">22 </option>
<option value="23">23 </option>
<option value="24">24 </option>
<option value="25">25 </option>
<option value="26">26 </option>
<option value="27">27 </option>
<option value="28">28 </option>
<option value="29">29 </option>
<option value="30">30 </option>
<option value="31">31 </option>
</select>
<span class="pickup-slash"> /</span>
<select name="service_year1" class="form-control pickup-input">
<option value="2023" selected="">2023 </option>
<option value="2024">2024 </option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-xs-10 col-sm-4 col-md-6 col-lg-4 "> Pickup Time </div>
<div class="col-xs-11 col-sm-7 col-md-6 col-lg-6">
<select name="Hour1" id="select18" class="form-control pikup-float-w">
<option value="Hour" selected="">Hour </option>
<option value="00 a.m.">00 a.m. </option>
<option value="01 a.m.">01 a.m. </option>
<option value="02 a.m.">02 a.m. </option>
<option value="03 a.m.">03 a.m. </option>
<option value="04 a.m.">04 a.m. </option>
<option value="05 a.m.">05 a.m. </option>
<option value="06 a.m.">06 a.m. </option>
<option value="07 a.m.">07 a.m. </option>
<option value="08 a.m.">08 a.m. </option>
<option value="09 a.m.">09 a.m. </option>
<option value="10 a.m.">10 a.m. </option>
<option value="11 a.m.">11 a.m. </option>
<option value="12 p.m.">12 p.m. </option>
<option value="01 p.m.">01 p.m. </option>
<option value="02 p.m.">02 p.m. </option>
<option value="03 p.m.">03 p.m. </option>
<option value="04 p.m.">04 p.m. </option>
<option value="05 p.m.">05 p.m. </option>
<option value="06 p.m.">06 p.m. </option>
<option value="07 p.m.">07 p.m. </option>
<option value="08 p.m.">08 p.m. </option>
<option value="09 p.m.">09 p.m. </option>
<option value="10 p.m.">10 p.m. </option>
<option value="11 p.m.">11 p.m. </option>
</select>
<select name="Minute1" id="select19" class="form-control pikup-float-w">
<option value="Minute" selected="">Minute </option>
<option value="00">00 </option>
<option value="05">05 </option>
<option value="10">10 </option>
<option value="15">15 </option>
<option value="20">20 </option>
<option value="25">25 </option>
<option value="30">30 </option>
<option value="35">35 </option>
<option value="40">40 </option>
<option value="45">45 </option>
<option value="50">50 </option>
<option value="55">55 </option>
</select>
</div>
</div>
</div> <!---===== END OF round ===---->
<h5 class="text-align-left">SPECIAL REQUESTS / COMMENTS:</h5>
<div class="row">
<div class="form-group">
<div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
<textarea name="SpecialRequestscomments" cols="64" rows="2" class="form-control" id="SpecialRequestscomments"></textarea>
</div>
</div>
</div>
<div class="row frm-inner-styl clearfix mg-top">
<div class="form-group">
<div class="col-xs-11 col-sm-7 col-md-12 col-lg-12">
<input name="Submit" type="submit" value="Submit Form">
<input name="Reset" type="reset" value="Reset Form">
</div>
</div>
</div>
</form>Text Content
Toggle navigation * HOME * RATES * RESERVATIONS * CONTACT US * FLIGHT TRACKER * AIRLINES INFO * OUR FLEET CONTENT ON THIS PAGE REQUIRES A NEWER VERSION OF ADOBE FLASH PLAYER. Essex County Rates Bergen County Rates Hunterdon County Rates Middlesex County Rates Morris County Rates Somerset County Rates Sussex County Rates Union County Rates Warren County Rates ADAMS LIMO RESERVATION FORM AT LEAST 24 HOUR PRIOR NOTICE REQUIRED FOR THE ONLINE RESERVATIONS. RESERVATIONS ARE NOT VALID UNTIL THE CONFIRMATION IS RECEIVED EITHER BY PHONE OR THE EMAIL. IF YOU DO NOT HEAR FROM US WITH IN 12 HOURS OF YOUR REQUEST PLEASE CALL US TO CONFIRM YOUR RESERVATION. TOLL FREE AT 1.888.404.0808 First Name Last Name Email Cell Phone Home Phone Type of Vehicles 7 Passenger SUV 14 Passenger VAN 3-4 Passenger Lincoln Towncar Number of Passenger 14 Passengers 13 Passengers 12 Passengers 11 Passengers 10 Passengers 9 Passengers 8 Passengers 7 Passengers 6 Passengers 5 Passengers 4 Passengers 3 Passengers 2 Passengers 1 Passenger Pickup Date Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2023 2024 Pickup Time Hour 00 a.m. 01 a.m. 02 a.m. 03 a.m. 04 a.m. 05 a.m. 06 a.m. 07 a.m. 08 a.m. 09 a.m. 10 a.m. 11 a.m. 12 p.m. 01 p.m. 02 p.m. 03 p.m. 04 p.m. 05 p.m. 06 p.m. 07 p.m. 08 p.m. 09 p.m. 10 p.m. 11 p.m. Minute 00 05 10 15 20 25 30 35 40 45 50 55 PICKUP FROM Full mailing address or other OR Select an Airport Newark Airport Laguardia Airport JFK Airport Philadelphia Airport Airline Flight # DROP OF LOCATION Full mailing address or other OR Select an Airport Newark Airport Laguardia Airport JFK Airport Philadelphia Airport Airline Flight # ROUND TRIP / RETURNING INFORMATION: Pickup Date Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2023 2024 Pickup Time Hour 00 a.m. 01 a.m. 02 a.m. 03 a.m. 04 a.m. 05 a.m. 06 a.m. 07 a.m. 08 a.m. 09 a.m. 10 a.m. 11 a.m. 12 p.m. 01 p.m. 02 p.m. 03 p.m. 04 p.m. 05 p.m. 06 p.m. 07 p.m. 08 p.m. 09 p.m. 10 p.m. 11 p.m. Minute 00 05 10 15 20 25 30 35 40 45 50 55 SPECIAL REQUESTS / COMMENTS: Copyright © 2004-2023 Adam's Limo and Car Service. All rights reserved.