Executive Fleet
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Executive Town Car and Limo

Executive Town Car and Limousine

Call 1-800-716-2799 for Reservations!

Reservations

 

Should you require service 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)

 Customer Account Code: (Existing Customers)

*Required

What kind of vehicle do you think will suit you?

PICK-UP DATE:


Month DayYear

Time:

Airport or Pick Up Address:   

Airline: 

Flight Number: 

Flight Departure City: 

Arrival Time: 

# of passengers 

Round TripOne Way

TO: (Drop Off Address):

RETURN DATE:

Month DayYear

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

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

If you receive an error message please e-mail the information contained in this reservation form to exectown@aol.com

Comments, Questions or Special Instructions:

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