Limousine Reservations

Contact Information

Full Name *

Phone Number *

Email *

Transportation Service Information

Type of Service*

Type of Vehicle*

Total Hours *

Pick-Up Information

Address *

City *

State*

Number of Passengers *

Date

Time

Drop-Off Information

Address *

City *

State/Country*

Number of Passengers *

Date

Time

Payment Information

Credit Card*

Credit Card # *

Expiration Date MM/YY *

Card Security Code *

Name Of Cardholder *

Billing Address *

Comments

I understand that deposits are not refundable due to client cancellation, and authorize LIMOUSINE COMPANY to process charges to my credit card for rental service, overtime & any damages that might be incurred to the limousine by my guests or myself. I the customer take full responsibility and hereby waive any and all claims against LIMOUSINE COMPANY.

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