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If you are arriving within the 48 hours please call us toll free at 1877-290-4546 and make your reservation with one of our customer service specialist.
Please Fill in this Form
* are required fields		 Or send us an email at
CONTACT INFORMATION
First & Last Name *
Street Address
City
State
Country
Postal Code / Zip Code
Phone (Day)
Phone (Mobile)
Phone # at the time of the pickup
Please don't list hotel's number
Email *
Date of Arrival
Arriving Airport
Airline
Flight Number   Time of Arrival AM/PM  
City of Origin
Total Number in Party
Type of Vehicle *
Drop-off Location / Hotel Name / Cruise Line
Address & Phone
RETURN INFORMATION
Date of Trip
Pickup Location or Address
Drop-off Location
Flight Departure Time  AM/PM
Time of Pickup AM/PM 
Type of Vehicle *
   
How did you hear about us?

I, hereby authorize BACKSTAGE LIMOUSINE to charge the above listed credit card account the amount indicated on my contract, and that I will in good faith, make good on the contracted charges.

I, the undersigned, do hereby personally guarantee payment of the full contracted amount in the event of non-payment without just cause by the above named company.

This information is being taken for the confirmation/cancelation reasons. Driver will take an imprint of the card and a signature at the time of the pickup and charge the card then.

Type of Card:  
 Credit Card Number: 
Expiration: 
/ 		3 Digit CVV Number: 

Name on the Card:  

Billing Address: 


Comments / Instructions

This information is being taken for the confirmation/cancelation reasons. Driver will take an imprint of the card and a signature at the time of the pickup and charge the card then.

Remember! We DO NOT charge your credit card Until the day of your service.
  

Rates does not include $10 Airport Fee and $10 for Early* and Late** pickup/dropoff
GAS CHARGES MAY APPLY
* Before 7 AM
** After 11 PM

Your driver will meet you and greet you in the baggage claim area. He will assist you with your luggage and take you directly to your destination. You can pay your fair to the driver after you arrive at the hotel. A minimum of 20% gratuity is recommended, not included in fair.




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