24 hours advance scheduled reservations for transportation service
Important:
DO NOT use this form If you need transportation sooner than 24 hours, Call
619-200-2060
Before Submitting please read the cancellation policy.
Please Note: 20% Gratuity is mandatory
1. Please provide the following Contact Information:
Personal information:
A. Title
B. First Name
C. Last Name
D. Organization (Optional)
E. Street Address
F. Address (cont.)
G. City
H. State/Province
I. Zip/Postal Code
J. Country  (Optional)
K. Cell Phone
L. Home or Work Phone
M. FAX (Optional)
N. E-mail
O. Re-type E-mail
2. Please provide the Origin & Destination Information (Locations where the transportation service will start & End):
Reservation information:
A Pick Up Date: Pick a date Month-Day-Year
B. Pick Up Time:
C.

Pickup Location or Address:
D. Pick up zip code: (Optional)
E. Drop Off Destination or Address:
F. Drop off zip code: (Optional)
G. Number of passengers?
3. Credit card information is required for all reservations, you may pay cash after service has been rendered.
A. First name on credit card
B. Last name on credit card
C. Expected Amount to Pay for your transportation $ Not including Gratuity
D. Payment options
E. Enter your credit card number
F.

Enter your Credit Card Expiration Date
G. Card verification number What is this
H. Enter your Credit Card Billing ZIP CODE or Country
I. Comments or special instructions?
First time customers: Tell us how you found us and receive $3.00 off your rate
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   I have completely read and agree to the cancellation policy terms

LIMAXI LLC.
Copyright © 2003 [Green Ride]. All rights reserved.
Revised: 10/07/08