Reservation Information:
*Note: If service is an airport ride please fill in the boxes that apply and skip the others. All online
reservations will be processed in a 24 hour time period. For immediate service please call the toll
free number at (866)503-0053, the Local number at (818)503-0053 or Fax your request to (818) 764-7915.
In order to be valid, all orders must be confirmed by eMail or by phone. If You do not receive
confirmation in 24 hours, please call one of the above numbers.

Customer Information

First Name		Last Name
Address		City
State		Zip
Phone		Cell Phone
Fax		Email

Vehicle Type

Vehicle Type:
Type of Service:
# of Passengers:

Date/Location of Service:

Date of Service:
Pick Up Location:		Drop Of Location:
Pick Up Time (PST):		Drop of Time (PST):

If Airport Pickup:

Airport:
Airline:
Flight #
Originating City*

Date/Location of Return Service:

Date of Return Service:
Pick Up Location:		Drop Of Location:
Pick Up Time (PST):		Drop of Time (PST):

If Airport Pickup:

Airport:
Airline:
Flight #
Originating City*

Additional Comments/ Special Requests:

*Additional charges may apply to any special requests/arrangements.

Credit Card Order

All fields must be completed to secure your reservation.

First Name
Last Name
Billing Address:
Type of card#:
Credit Card#:
Exp. Date:

TEL. (818) 503-0053, Fax (818) 904-2995 email:mylimo@mtllimo.com