First Name & Last: *
Phone Number: *
E-mail Address: *
Pick up Date: *
Pick up Time: *
( SAMPLE 12:00 PM )
Event Type: *
Select One
Airport transfer
Weddings
By hours
Sweet Sixteen
Bachelorette
Prom
Night Out
New York City Tour
Point to Point
Pick up & Drop off
Select Vehicle: *
Select One
Luxury Sedan 3 Pass
Mercedez
Luxury S.U.V 6 Pass
Lincoln Stretch Limousine 6 Pass
Lincoln Stretch Limousine 10 Pass
Chrysler 300 Stretch Limousine 10 Pass
S.U.V. Stretch Limousine 14 Pass
Yukon Stretch Limousine 14 Pass
Hummer Stretch Limousine 14 Pass
Hummer Stretch Limousine 20 Pass
Passengers #: *
(Airport, Airline, Flight Number, Address)
Pick up Place: *
(Airport, Airline, Flight Number, Address)
Drop off Place: *
Special instruction
Extra Service:
None
Regular Champagne $30.00 dollars
Champagne Moët & Chandon $90.00 dollars
12 Roses $60.00 Dollars
Black Limousine 20% extra charge
White Limousine 20% extra charge
Credit card: *
Selct One
American Express
Amex
Discover
Master Card
Visa Card
Credit card Holder's: *
( Name on the credit card )
Credit card Number: *
Expiration Date: *
( Month / Year )
C.V.V: *
(Security number of your card)
Postal Code: *
