< LAX Limo Service - Los Angeles Airport Limousine - LAX Ground Transportation
Client Information
Name*
Telephone
Cell Phone*
Fax
Email*
Vehicle Request
Vehicle Type
Type of Service
Number of Passengers
Date & Location
Date of Service
Drop off Location
Pick up Location
Pick up Time
(PST)
Drop off Time
(PST)
If Airport pick up
Airport
Airline
Flight Number
or Originating City*
Additional Comments/Special Requests
Credit Card Billing
Contact Phone Number*
Last Name*
First Name & Middle Initial*
Billing Address*
Enter Amount
Enter Gratuity
Type of card*
Credit Card
Number*
Expiration Date*
Baggage Claim Pick up?
Add $15.00 USD
(Check to be picked up at baggage claim.)
Total Amount
*By submitting this information you agree to the terms and conditions set forth by ALL CITY LIMO. All City Limo will contact you with the total amount to be billed to your credit card.
• Any cancellations less than 24 hrs. is subject to full amount of fare.
• All L.A.X. arrivals are subject $2.50 USD airport tax.
Copyright ® 2009 All City Limo. All rights reserved
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