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Fax Reservations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
New York Airport Limousine Servicenew york airport limousine service
 
 Fax  Reservation Form
 
Please fill out this New York limousine service form on line, then click the "PRINT" button below.
Call us before you fax this,, we will give you the Fax Number
This form is arranged for New York airport limousine service.
For any other service, please fill in your special request in the comment box below

Passenger First Name:

 Last Name:

Street Address:

 City:

State:

 Zip:
Country:
Phone:
 Mobile Phone:

Your Email:

NOTE: CONFIRMATION SENT TO THIS EMAIL
Street Address or Airport Name:
Address2 or Airline Name
City or Arriving From:
State/Providence or Flight No.:
Zip/Postal Code or Arrival Time:
 (ex:16:30)
Destination:
 Other:
No. Passengers:
 Handbags: *Suitcase:
*NOTE: OVER 8 SUITCASES WILL REQUIRE THE LUXURY VAN.
Type of Car:
Date of Pickup:
Time of Pickup:

Credit Card Type:

Credit Card Number:

 Exp Date: (mm/yy)

Name on Card:

Card Billing Address:

 City:

State:

 Zip:
Card Holder Phone:

By signing this limo service form you agree that (1) you are the credit card holder and (2) that you are requesting the services listed above and (3) that you are authorizing this card to be used for the New York limousine service requested.

 

Cardholder's Signature: _________________________________ Date: ___________


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