Client Information
Name*
Telephone
Cell Phone*
Fax
Email*
Vehicle Request
Vehicle Type
Type of Service
Number of Passengers
Date & Location
Date of Service
Pick up Location
Drop off Location
Pick up Time
(PST)
Drop off Time
(PST)
If Airport pick up
Airport
Airline
Flight Number
or Originating City*
Additional Comments/Special Requests
First Name & Middle Initial*
Last Name*
Contact Phone Number*
Billing Address*
Type of card*
Credit Card
Number*
Expiration Date*
*Credit Card information is required to secure the reservation.
(Credit card will not be billed)
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.
Credit Card Information*
Copyright ® 2009 All City Limo. All rights reserved
Security code*