Los Angeles Limousine Reservations

Contact Information

Full Name *

Phone Number *

Email *

Transportation Service Information

Type of Service*

Select Services TRANSFERS Airport (to or from) Cruiseport (to or from) other point-to-point     HOURLY / EVENT SERVICES Hourly (as directed) Wedding Airport Corporate Bachelor Party Bachelorette Party Birthday Concert Funeral Graduation School Dance / Prom Night-on-the-Town Sporting Event Wine / Guided Tour

Type of Vehicle*

Select Vehicle Rolls Royce Ghost Rolls Royce Phantom Maybach Sedan Bentley Flying Spur Bentley Flying Spur Maybach 62S Rolls Royce Princess Maybach 8 pass. limousine 12 Passenger Mercedes s550 Limo Rolls Royce Phantom 6 pass. Limo 6-10 passenger Rolls Royce Limo Lincoln Stretch Limo 10 Pass. Chrysler 300c limo 18 Passenger Range Rover Limousine 20/30/35 pass. Hummer Limo 20 Passenger Escalade limousine G-Wagon Limo Lincoln Town Car Mercedes s550 BMW 7 Series Cadillac Escalade SUV Suburban SUV 20 Passenger Limo Bus Rental 28 Passenger Colossus Party Bus 28 Passenger Party Bus Rental 34 Passenger Limousine Bus Rental 46 Passenger V.I.P Limo Bus Rental 46 Passenger Party Bus Limo Rental

Total Hours *

Pick-Up Information

Address *

City *

State*

Select Area Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Number of Passengers *

Date

Time

Drop-Off Information

Address *

City *

State/Country*

Select Area Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Number of Passengers *

Date

Time

Payment Information

Credit Card*

Select Card Type Visa Mastercard American Express Discover

Credit Card # *

Expiration Date MM/YY *

Card Security Code *

Name Of Cardholder *

Billing Address *

Comments

I understand that deposits are not refundable due to client cancellation, and authorize Los Angeles Limousine Services to process charges to my credit card for rental service, overtime & any damages that might be incurred to the limousine by my guests or myself. I the customer take full responsibility and hereby waive any and all claims against Los Angeles Limousine Services.