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This form is for ONLINE bookings with 24+ hours advance notice.
Please call (800) 880-4100 for same day bookings.

Toll Free (800) 880-4100

Cash Option

Client Information:

Name:

Telephone:

Cel. #:

Fax:

Email:

Vehicle Request:

Vehicle Type:

Type of Service:

Number of Passengers:

Date / Location of Service:

Date of Service:

Pick Up
Location:

Drop Of
Location:

Pick Up Time (PST):

Drop of Time (PST):

If Airport Pickup:

Airport:

Airline:

Flt# Or
Originating City*

Additional Comments/ Special Requests:

*Additional charges may apply to any special requests/arrangements.

All fields must be completed to secure your reservation.

First Name & Middle Initial:

Last Name:

Contact Phone #:

Billing Address:

Type of card#:

Credit Card#:

Exp. Date:

By sumiting 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 cancelations less than 24 hrs. is subject to full amount of fare. • All L.A.X. arrivals are subject $2.50 USD airport tax.

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