* Passenger Name:   * email:

* Time and Date of Pickup:
* Airport or other pick up point: * Airline and flight number: * Arriving from:	Airport JFK LGA NWK MCARTHUR TETERBORO OTHER   Other:

* required fields

Drop off Information:

* Hotel / Airport or Business:
* Street Address if available:   City and State: Zip Code:

* required fields

Type of Vehicle required:

Type of Vehicle: Lincoln Town Car Luxury Sedan (Nice Car!) SUV (Expedition, Navigator) Mini Van

PLEASE INQUIRE PRICING TO ALL OTHER DESTINATIONS BY CALLING OUR RESERVATIONS DEPARTMENT (212) 420-0101 OR OUT OF STATE CALL TOLL FREE (888) 420-2088.

Method of payment:

First Name*	Middle:
Last Name*
Telephone*	(home/cellular or both)

Card Type*	Card Number*	Expires*
Choose Payment Method Visa Master Card Discover Diners Club		Month Expires 01 - January 02 - February 03 - March 04 - April 05 - May 06 - June 07 - July 08 - August 09 - September 10 - October 11 - November 12 - December Year Expires 1999 2000 2001 2002 2003 2004 2005

* required fields

PLEASE NOTE: YOUR CARD WILL BE AUTHORIZED FOR A CERTAIN AMOUNT AND WILL BE CHARGED ONLY AFTER THE TRIP IS COMPLETE, ACCORDING TO OUR RATES.  TOLLS AND PARKING WILL BE CHARGED IF APPLICABLE. RESERVATIONS MUST BE MADE ON REGULAR BUSINESS DAYS IN ORDER TO BE PROCESSED IN DUE TIME.  ONCE THE RESERVATION HAS BEEN INPUT INTO OUR SYSTEM, YOU WILL BE SENT YOUR CONFIRMATION NUMBER AND ANY OTHER PERTINENT INFORMATION REGARDING THE TRIP VIA ELECTRONIC MAIL.

RESERVATIONS WILL NOT BE ACCEPTED WITHOUT A CREDIT CARD!

Additional comments and/or requests may be posted in the box below: