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Reservation Form
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Name
full name
Phone
Phone Number
Email
a valid email
Vehicle
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Select One
Lincoln Town Car
Lincoln MKT
Executive BMW
Mercedes R-Class (2 – 4 passengers)
Mercedes E-Class (2 – 4 passengers)
Mercedes S-Class (2 – 4 passengers)
Stretch Limousine (8 passengers)
Stretch Limousine (12 passengers)
Mercedes Benz Era Stretch Limousine (12 passenger)
Ford Premiere Limousine (14 – 16 passengers)
Executive SUV
Luggage Van
Executive Van
Mini Bus
Number of
Passengers
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
more then 16
Event
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Proms
Party
Wedding
Concert
Airport Transportation
Sport Events
Wine Tours
Night Out
Hotel Transportation
Date
Pickup Date
Time
Pickup Time
hh
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
mm
00
10
20
30
40
50
Rental Period
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One Way Transfer
1 HOur
2 Hours
3 Hours
4 Hours
5 Hours
6 Hours
7 Hours
8 Hours
More then 8 Hours
Credit card Number
Expiry Date
Additional Notes
Pickup and Drop Off info (For Airport Pickup Please Provide Flight Info.)
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