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Town Car Sedan
Mercedes Benz S550
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7 Passengers Van
12 Passengers Van
Lincoln Stretch Limo
Excursion Stretch Limo
Escalade Stretch Limo
H2-Hummer Limousine
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If you are arriving within the 48 hours please call us toll free at 1-800-617-6690 and make your reservation with one of our customer service specialist.
Please Fill in this Form
* are required fields		 Fax : 1-888-970-2111
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 Elegance Luxury Transportation 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.
Print This out and Fax it to Us at 1-888-970-2111          OR   
 Please click on PREPAY if you want to use our Online Fax Form.
 
Copyright 2007-11, All rights reserved | Elegance Luxury Transportation, Orlando Florida
Elegance Transportation, 
2209 Victoria Falls Dt ,  Orlando, FL 32824
Phone: 407-442-3112