Reservation Form


Please fill out the infromation below to reserve a New York Limo.
PERSONAL INFORMATION
 
*First Name:
*Last Name:
Company:
*Address:

Address 2:

*City:
State:
*Country:
Zip/Postal:
*Daytime Phone
Fax:
*Mobile Phone:
*Email:
PICK UP INFORMATION
 
*Pick Up Date:
*Pick Up Time:
 
*Drop off Date:
*Drop Off Time:
 
*Vehicle Type:
*Pickup Type:
 
PICKUP AIRPORT
 
Airport Name:
Airline Name:
Flight Number:
City Flying From:
  At Baggage Claim / Immediately After Customs
Baggage Claim for Domestic Flights; After Customs for International Flights

At Limo / Taxi Pickup Curb (if allowed at Airport)

Put Vehicle in Parking and Wait for Cell Phone Call from Driver
 
DROP OFF LOCATION
 
Use the address information listed above:
 
*Address:

Address 2:

*City:
State:
*Country:
Zip/Postal:
 
PASSENGER INFO
 
# of Passengers:
# of Bags:
List of Passengers:
 
CREDIT CARD INFO
 
*Credit Card:
*Name on Card:
*Card Number:
*Expiry Date:
*CV2:
BY SUBMITTING THIS FORM YOU AGREE THAT:

(1) you are the credit card holder ande
(2) that you are requesting the services listed above and
(3) that you are authorizing this card to be used for the requested services.
*I agree


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