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......... RESERVATIONS

1) Fill the reservations form below.
2) Read and acknowledge the rental contract.

Personal Information:

FullName :    * Type FullName

Address :      * Type Address

Zipcode :      * Type Zipcode

Phone :         * Type Phone Simple 310.359.5027

Email :          * Type Email yourname@website.com

Reservation:

Day Reservation :    * Type Wednesday, 30 April, 2014

Pickup time :            * AM PM Type 10:30

Number of Hours :   * Hours Type 4 or 5 or 10

Vehicle:

Vehicle Type: ....................

Color: ................................

Number of Passengers :      Type Number of Passengers

Number of Vehicles :           Type Number of Vehicles

Occasion: .........................

Method of payment:

Credit card: ..................

Credit Card Number :  * Type 9999-9999-9999-9999

Expiration Date :         * Type ExpirationDate mm/yyyy

CVV # :                        * Type CVV # 999

Zip code :                     * Type ZipCode 99999

Hourly rate: + 20% = Total amount:

By checking this box, I agree to pay for the services above. I understand that a minimum deposit of $150.00 (or the total amount if less) will be charged to my credit card, and that deposits are nonrefundable. The remainder of the balance will be charged upon completion of the service. Reservations made by check will be confirmed only after payment is received.


The order will be revised by office personnel. In the event that incorrect amounts are entered, the correct sum will be processed and the customer notified.

JP LIMOUSINE Service is not responsible for incorrect information entered in this form, which may cause delays or inability to provide the service. In that event, any fees charged will not be refunded.

Comments:

 



Please call us today at
310.359.5027
e-mail : tai633@yahoo.com

or click here for reservations!

 

JP Limo dba Millionaire Limo Club TCP-26630-P