Limousines For Less Inc. - Hourly Rate Reservation Form

* required field

If you are an established customer please check here:

Yes

Name

Company

Street

City

State

Zip

Tel: Home

Tel: Work/Cell

Fax:

E-mail:

How would you like us to contact you to confirm your Reservation? Please choose one.

Fax

E-mail

Phone

Type of Vehicle:

Number of Passengers:

Number of Hours:

Date of Service

Start Time

Finish Time

Pick Up Address:

City:

State:

Zip Code

Drop Off Address:

City:

State:

Zip Code

Please give us directions to the pickup point, and any other information you feel we may need know, in the box below.