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Reservation Form


Contact / Billing Information
Name: Email:
Phone Number:   
Address: City:
State: Zip code:
Credit Card on File:No Yes  
Credit Card Type: Card Holder Name:
Card Number: Expiration Date:
CVV Number:   
Service Information
Occasion: Type of Vehicle:
Pickup Date: New York City Limousine Pickup Time:
Hours Needed: *Hourly charters are provided for 3 hours minimum.
Number of Passengers:  
Pickup/Drop off Information
Pickup Location / Address (if you know):
For Airport Pickup only:
Airline: Flight No.
Do you want Driver to meet you at the gate with a Name Sign?
YES - (DOMESTIC FLIGHT - Add $15.00 to my charges) (INTERNATIONAL FLIGHT - Add $20.00 to my charges.)

NO - (I will call after collecting my baggage)
 
Drop Off Location / Address (if you know):
 
For Airport Drop Off only:
Airline:
 
Special Instructions:
 
Confirmation Method:
Contact me by telephone to confirm reservation.
Contact me by email to confirm reservation.
 
I have read and agree to the terms and conditions
 
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