Emerald & V.I.P. Limousine Services Secure On-Line Reservation Form. Serving Central & Western Oregon with the finest Limousines, Sedan & Van Services.

	Limo.Net

	On-Line Reservation Form
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Emerald & V.I.P. Limousine Service(s)

Limousine, Sedan or Van Reservation Application
Use this form to submit a reservation for limousine, sedan or van service(s). Please fill it out the best you can. We will call you to go over the details if necessary, so please be sure to include your daytime phone number. If your having trouble completing an On-Line Reservation please call us to make a telephone reservation. Main office Albany 541.926.7617 Albany 541.926.7617 - Bend 888.546.6638 - Eugene 541.345.3655 - Salem 503.362.5556 Portland 503.972.0278 - National Toll Free 888.Limo.Net(888.546.6638) FAX 541.926.9874 Snail Mail: 181 34th Ave SW Albany, OR 97322-3849 E-Mail: Bend@Limo.Net
required field
Contact Person
Company Name
Customer Name(s)
Billing Address
City
Billing State & Zip Code	,
Daytime Phone	Please include A/C**
Evening Phone	**
E-Mail: User@Domain.Com
For all America-Online (AOL) Users: Make sure you can receive your confirmation through AOL! Make sure your AOL Mail Controls are not set to block Internet email. If you have Internet email blocked, you will need to update your AOL Mail Controls. To make this update, enter the AOL Keyword 'Mail Controls' on AOL.
Date of Service
Number of Passengers
Event type

Time of Service:
Dinner, Prom etc. is not considered Split Service. Split service is like 2 hours in the afternoon and then a transfer late in the evening (Ie. a Wedding destination transfer). This form accommodates two service intervals if you wish to do a "split" service.
Pickup time (start of service)	: Hours : Minutes
Drop off time	: Hours : Minutes

2nd Pickup time:	: Hours : Minutes
2nd Drop off time:	: Hours : Minutes

Pickup Location:
Pickup Address or Airport
Airline	Flight #
Airport Pickup location	[ Commercial Roadway ]
Scheduled Flight Arrival Time
Flight Origination City
Pickup City
Pickup State & Zip Code	,
Nearest Cross Street
Phone # @ Point of Pickup	Please include A/C**
Helpful Hints for the driver ie: Our house is the one with NO numbers and white shutters. We live ABC apartment complex. Use the 2nd driveway. 2nd Building on the right.

Destination:
Destination or (As Directed / To Be Announced)
Destination Address or Airport
Destination City
Destination Zip Code
Nearest Cross Street
Destination Phone #

Select a Limousine, Sedan or Van....
[ Vip 1 ] [ 8-Passenger Van ] [ Vip 3 ] [ 15-Passenger Van ] [ Vip 5]
[ Vip 6] [ Vip 7] [ Vip 8] [ Vip 9] [ Vip 10] [ Vip 11] [ Vip 12]
[ Vip 15] [ Vip 16]
Options....
Beverage Ice: We Require Ice No Ice Needed
Surprise? NO YES

Payment Information
This form will go secure! If you must see the little lock first you can use this link and start over. If not just fill in the form and it will go secure BEFORE any data is transferred!
Name as it appears on Credit Card:
Credit Card Type:
Credit Card Numbers -or- none:
Credit Card Expiration Date mm/yy:
Please Charge my card for: A Deposit Estimated rental charges
Add a 0%(Tip Chauffeur) 10% 15% 20% Gratuity for the Chauffeur. Most tipping guides suggest 15-20%.
Additional Needs:


Reserve with confidence! Our site is secured by:
If your Browser does NOT support secure connections please use our NON Secure Reservations Page: http://Bend.Limo.Net/reservation-unsecure.html Want to make a reservation via FAX please use our PDF Reservation Form.

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Main office Albany 541.926.7617
Albany 541.926.7617 - Eugene 541.345.3655 - Salem 503.362.5556
Portland 503.972.0278 - National Toll Free 888.Limo.Net(888.546.6638)
FAX 541.926.9874
Snail Mail: 181 34th Ave SW Albany, OR 97322-3849

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Phone: 541.926.7617
Fax: 888.777.6120

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