Please complete the following form to submit your request:
REQUEST TYPE:
Transportation Services Required:
TYPE OF SERVICE:
TYPE OF VEHICLE:
SPECIAL REQUESTS:
Pickup Location Details:
PICKUP LOCATION:
Office
Residence
Other
ADDRESS:
CITY:
STATE:
NO OF PASSENGERS:
PASSENGER NAMES:
DATE:
TIME:
PICKUP INSTRUCTIONS:
Dropoff Location Details:
DROPOFF LOCATION:
Office
Residence
Other
ADDRESS:
CITY:
STATE:
NO. OF PASSENGERS:
PASSENGER NAMES:
DATE:
TIME:
DROPOFF INSTRUCTIONS:
Contact Information:
TITLE:
FIRST NAME:
LAST NAME:
ADDRESS:
SUITE/FLR:
CITY:
STATE:
ZIPCODE:
COUNTRY:
DAY TELEPHONE:
EVE TELEPHONE:
CELL PHONE:
PAGER:
FAX NUMBER:
EMAIL:
Credit Card Information: (required for all reservations)
CORPORATE CARD?
Yes
No
NAME ON CARD:
CARD TYPE:
CARD NUMBER:
EXPIRE DATE:
I hereby Authorize DCLimousines.com to debit my credit card for transportation
services listed herein above. I understand that all cancellations must be made as follows:
HOURLY SERVICES:
7 DAYS NOTICE: For full refund
LESS THAN 7 DAYS: 50% is charged
LESS THAN 48 HOURS NOTICE: 100% of the contract price will be charged
AIRPORT SERVICES:
LESS THAN 24 HOURS NOTICE: 50% of the contract price will be charged.
