Peace Limousine - || Reservation ||

RESERVATION FORM
Please fill out this form completely and we will be happy to respond to your requests and comments Thank You!

Quote or Reservation

Full Name:

Phone Number:

Cell Number:

Email:

ID NUMBER:

(Previous Customers)

Type of Service:

Ride to the Airport
Ride from the Airport
Charter
Point to Point
Other:

Hours of Service:

Airport:

Airline:

Flight Number:

Number of Passengers:

Type of vehicle:

Pick Up Date:

Pick Up Time:

Pick Up Location Name:

Address/City/State/Zip:

Destination/Location Name:

Address/City/State/Zip:

ROUND TRIP

Date	Time	Airline	Flight#

Additional Comments:

Methods of Payments:

Only from new customers we need credit card information to reserve a vehicle. If you are not comfortable using your credit card on line Please call us or print out this page and fax it.

Card Type:

Name on card:

Card Number :

Exp:

Three Digit Number:

Billing Address:

(If different from above)

Confirmation Type:

Your reservation IS NOT CONFIRMED until received our e-mail or phone confirmation number
Po Box 821, Mill Valley, CA 94942
Phone: (415)272-2867
Fax: (415)789-5487

We accept all major credit cards

Visa - Master Card – Amex - Discover