Passenger Name*:	E-Mail address*:
Phone*:	Cell Phone:
Specify your request*:
Pick up Address*:	Drop off Address*:
Type of Vehicle*:	Date of Service:
Luxury Sedan 6 Pass Stretch Limousine 8 Pass Stretch Limousine 10 Pass Stretch Limousine 12 Pass Stretch Limousine
	Time of Pickup:
	AM PM
Fill Only For Airport Pickups:
Airport Name:	Airline:
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Flight date:	Time of arrival/Depart:
	AM PM
Flight No.:	Arrive/Depart from:
Passenger Count:	# Pieces of Luggage:
Payment Method :	Credit Card Number:
Guaranteeing with: American Express Master Card VISA Discover Account Holder Please Call Me	Expiration Date:
Account Holders, Enter Account Number:

Thanks for your Reservation... We will contact you soon!

Note: For security reasons, RILimo call customer service 888.441.4499 for alternative arrangements. RILimo.com Service adheres to standard limousine services practices whereby "no-show customers will be charged the full amount of the reserved limousine.
We contact you to confirm reservation.