Executive Town Car and Limousine

Call 1-800-716-2799 for Reservations!

Reservations

Should you require service in the next 24 hours or need to change an existing reservation in the next 24 hours, you must call dispatch at 516-792-1735.

This is a SECURE on-line reservation form.

Personal Information:

*Passenger Name:

*E-mail:

*Phone: (area code required)

*Mobile Phone: (country code and number required)

 FAX:

*Required

What kind of vehicle do you think will suit you?
PICK-UP DATE:


Month Day Year

Time:

Airport or Pick Up Address:   

Airline: 

Flight Number: 

Flight Departure City: 

Arrival Time: 

# of passengers 

Round Trip One Way

TO: (Drop Off Address):

RETURN DATE:

Month Day Year

Time:

Pick Up Location:   

Airport or Drop Off Location:   

Airline: 

Flight Departure Time: 

 
Billing Information:

(Cancellations must be made 24 hours prior to pick-up in the USA, & 48 hours for services outside the USA.)

Credit Card Type:  Visa MC  AmEx  Discover  Diners Club

Card #  Exp.

Billing Address 

Billing Zip Code

Your Executive Town Car & Limo Account: (if applicable)

Card Signature Name


Please send price & confirmation for this trip via:

E-mail Phone Fax

If Phone or E-mail differs from above, enter the new one here: 

Comments, Questions or Special Instructions: