Reservation Form
Please allow us at least 24 hrs. before your pick-up date when using this form so we can confirm your reservation.
| Organization | |
| Phone | |
| FAX | |
| Name | |
| Title | |
Pick-up Address:
Pick-up information or instructions: airline, flight number, hotel, restaurant,
building, etc.
Time of pick-up: Date of pick-up:
-- hh:mm:ss am/pm (PST)
Number of passengers?
Length of Service? # of
hours needed
Final Drop-off Address:
Choose type of vehicle and type of service:
Type and amount of Payment:
Cash Credit
Card Amount of payment:
Please provide the following credit card information: All reservations require a credit card number to hold the reservation.
| BILLING | |
| Credit Card | |
| Cardholder Name | |
| Card Number | |
| Expiration Date |
Please be advised that you are reserving a limousine.
| CARDHOLDER Billing Address | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Phone |
Thank you for
choosing Xtreme!
Our Cancellation Policy: $200 or 50% of the total if cancelled within 24hrs. of the pick-up date.
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