Queen Limo Reservation Form
*
Bold typefaces indicates required fields
Reservation Information:
Last Name:
First Name:
E-mail:
Company:
Street Address:
Apt #:
City:
Country
:
State:
Choose
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Canal Zone
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Telephone:
Area Code:
Number:
Fax:
Area Code:
Number:
Vehicle Information:
Vehicle Type:
Choose
Executive Sedan
Pres. Stretch Limo - 6 passengers
Super Stretch Limo - 8 passengers
Ultra Stretch Limo - 10 passengers
Mercedes Sedan S 500
Van - 13 passengers
Suburban - 7 passengers
Navigator SUV Stretch 15 passengers
Navigator SUV Stretch 20 passengers
Excursion SUV Stretch 20 passengers
Excursion - 7 passengers
Type of Service:
Choose
-- AIRPORT SERVICES ------------------
Ride TO the airport.
Ride TO the airport & back later.
Ride FROM the airport.
Ride FROM the airport & back later.
-- WEDDINGS ------------------
Wedding Packages
Wedding Transfer
-- EVENTS ------------------
Bachelor(ette) Party
Birthday
Concert
Graduations
Holiday Lights Tour
Homecoming/School Dance
Night-on-the-town
Prom Service (6 hour minimum)
Sporting Event
Wine/Guided Tour
-- OTHER SERVICES
Point-to-Point Transportation
Other service not listed
Number of Passengers:
Location of Service:
City:
State:
Choose
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Canal Zone
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Pick Up Location:
Drop Of
Location:
Date of Service:
Day:
- -
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
- -
January
February
March
April
May
June
July
August
September
October
November
December
Year:
- -
2003
2004
2005
2006
2007
2008
Time of Service:
Hour:
--
1
2
3
4
5
6
7
8
9
10
11
12
Minute:
--
00
05
10
15
20
25
30
35
40
45
50
55
AM/PM:
--
AM
PM
Pick Up Time (PST)
Drop of Time
Hour:
--
1
2
3
4
5
6
7
8
9
10
11
12
Minute:
--
00
05
10
15
20
25
30
35
40
45
50
55
AM/PM:
--
AM
PM
(PST)
Additional Information:
customerservice@queenlimo.com