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Contact Information
Full Name
*
Phone Number
*
Email
*
Transportation Service Information
Type of Service
*
Select Services
TRANSFERS
Airport (to or from)
Cruiseport (to or from)
other point-to-point
HOURLY / EVENT SERVICES
Hourly (as directed)
Wedding
Airport
Corporate
Bachelor Party
Bachelorette Party
Birthday
Concert
Graduation
School Dance / Prom
Night-on-the-Town
Sporting Event
Wine Tour
Type of Vehicle
*
Select Vehicle
Luxury Sedan
Mid-Size Sedan
Luxury SUV
Executive SUV
Stretch Limousine
Mercedes Sprinter
Shuttle Bus
Party Bus
Total Hours
*
Pick-Up Information
Address
*
City
*
State
*
Select Area
California
Other
Number of Passengers
*
Date
Time
Drop-Off Information
Address
*
City
*
State/Country
*
Select Area
California
Other
Number of Passengers
*
Date
Time
Payment Information
Credit Card
*
Select Card Type
Visa
Mastercard
American Express
Discover
Credit Card #
*
Expiration Date
MM/YY
*
Card Security Code
*
Name Of Cardholder
*
Billing Address
*
Comments
I understand that deposits are not refundable due to client cancellation, and authorize PaloAltoLimoServices.com to process charges to my credit card for rental service, overtime & any damages that might be incurred to the limousine by my guests or myself. I the customer take full responsibility and hereby waive any and all claims against PaloAltoLimoServices.com.
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