| Limousine,
Sedan or Van Reservation Application |
Use this form
to submit a reservation for limousine, sedan or van service(s).
Please fill it out the best you can. We will call you to go
over the details if necessary, so please be sure to include your
daytime phone number.
If your having trouble completing an On-Line Reservation please
call us to make a telephone reservation.
Main office Albany 541.926.7617
Albany 541.926.7617 - Bend 888.546.6638 - Eugene
541.345.3655 - Salem 503.362.5556
Portland 503.972.0278 - National Toll Free 888.Limo.Net(888.546.6638)
FAX 541.926.9874
Snail Mail: 181 34th Ave SW Albany, OR 97322-3849
E-Mail: Reservations@Limo.Net
 Effective July 1st, 2008 all reservations will have a 10% Fuel Surcharge added to the reservation.
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| For
World Wide Reservations use the link below. |
| Worldwide Reservation Form: Click
here! |
required field 
|
| Contact Person
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| Company Name |
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| Customer
Name(s) |
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| Billing Address |
|
| City |
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| Billing State
& Zip Code |
,
|
| Daytime Phone |
**Please include A/C |
| Evening Phone
|
** |
| E-Mail: User@Domain.Com |
|
|
For all America-Online (AOL) Users:
Make sure you can receive your confirmation through AOL! Make
sure your AOL Mail Controls are not set to block Internet email.
If you have Internet email blocked, you will need to update your
AOL Mail Controls. To make this update, enter the AOL Keyword
'Mail Controls' on AOL.
|
| Date of Service |
|
| Number of
Passengers |
|
| Event type |
|
| |
| Time
of Service: |
| Dinner, Prom
etc. is not considered Split Service. Split service is like
2 hours in the afternoon and then a transfer late in the evening
(Ie. a Wedding destination transfer). This form accommodates two
service intervals if you wish to do a "split" service. |
| Pickup time
(start of service) |
|
| Drop off
time |
|
|
| 2nd Pickup
time: |
|
| 2nd Drop
off time: |
|
| |
| Pickup
Location: |
| Pickup Address
or Airport |
|
| Airline |
Flight #
|
| Airport Pickup
location |
[
Commercial Roadway ] [
Baggage Claim ] [
Meet & Greet @ Gate ] |
| Scheduled
Flight Arrival Time |
|
| Flight Origination
City |
|
| Pickup City |
|
| Pickup State
& Zip Code |
,
|
| Nearest Cross
Street |
|
| Phone # @
Point of Pickup |
**Please include A/C |
|
Helpful Hints for the driver
ie: Our house is the one with NO numbers and white shutters.
We live abc apartment complex. Use the 2nd driveway.
2nd Building on the right.
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|
| |
| Destination: |
| Destination
or (As Directed / To Be Announced) |
|
| Destination
Address or Airport |
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| Destination
City |
|
| Destination
Zip Code |
|
| Nearest Cross
Street |
|
| Destination
Phone # |
|
| |
| Select
a Limousine, Sedan or Van.... |
|
|
| [
Vip 7] [
Vip 8] [
Vip 9] [
Vip 10] [
Vip 11] [
Vip 12] [
Vip 14] |
|
|
|
| Options.... |
| Beverage
Ice:
We Require Ice
No Ice Needed |
| Surprise?
NO
YES |
|
| Payment
Information |
|
This form will go secure!
If you must see the little lock first you can use this link
and start over.
If not just fill in the form and it will go secure BEFORE
any data is transferred!
|
| Name as it
appears on Credit Card: |
|
| Credit Card
Type: |
|
| Credit Card
Numbers: |
|
| Credit Card
Expiration Date mm/yy: |
|
| Credit Card
Billing Address: |
|
| Credit Card
Billing Zip Code |
|
| Please
Charge my card for:
A Deposit
Estimated rental charges |
| Add
a
0%(Tip Chauffeur)
10%
15%
20% Gratuity for the Chauffeur. Most tipping guides suggest 15-20%. |
Additional Needs:
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| |
| Reserve
with confidence! Our site is secured by: |
|
If your Browser supports secure connections please use our
Secure Reservations Page:
Want to make a reservation via FAX please use our PDF
Reservation Form.
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