SHANGHAI LIMOUSINE RESERVATION FORM

To place a reservation with Shanghai Limousine, please fill out and submit the form below. We will confirm your reservation within 24 hours via telephone. Your reservation is not complete until you receive a confirmation number. For service needed within 48 hours, please call our 24-Hour hotline at (021) LIMO-RENT 5466 7368 for immediate assistance.

1) Fill out the reservations form below.
2) Read and acknowledge the rental contract.

Personal Information:

Name:	*
Organization:
Address:
City/State/Country:
Phone:	*
Mobile phone:	*
E-Mail:	*

Reservation:

Day: Date: Month: Year:

Pickup time: AM PM Number of Hours:

Vehicle:

Vehicle Type:	*
Color:
Number of Passengers:	*
Number of Vehicles:

Pickup Information:

Airport:		Airline
Flight:		Originating Location:

----------- Or Enter Address -----------

Address / Bldg		City:
District		Postal Code:
Stop 1
Stop 2

Dropoff information:

Airport:		Airline:
Flight:

------------ Or Enter Address -----------

Address / Bldg		City
District:		Postal Code

Other: >

Occasion:
How did you hear about us?
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Method of Payment:	Cash Credit Card *
Cardholder's Name:	*
Credit Card type:	*
Credit Card Number:	- - - *	Security Code :	*
Expiration date:	*
Credit Card Billing Address:
Street:	*
Suburb / Town:	*
State:	*	Country:	*
Zip Code:	*

Other comments or request you may have:

Please attempt to provide as much information so that we may provide you with the most accurate price quote or reservation. Our office will contact you via email or phone within 24 hours to reconfirm your itinerary.