Limousine Services of Cape Cod Date: ____________________________
Tel: 508-896-4445 Fax to: 508-896-4445 Pick up Time:______________
Drop off Time:______________
Fax Reservation Form Number Hours:_________
Vehicle _______________ # of Passengers _____ Under 21 years?_____ Car Seat? _____ Driver:_______________________
Customer: _________________________________________________________ Tel/Cell #: ___________________________
Mail Address: ______________________________________________________________
Town: ______________________________________________________ State: _________ Zip: _____________-_____________
e-mail address: ____________________________________________________________ Marketing Source: Lscc Website
Rate: __________ 30% Deposit: ______________ The Deposit will be charged at the time of the reservation.
Balance: ____________ Gratuity: ___________ add gratuity to card? _____ or paying cash to driver? _____
Balance + Gratuity: ___________ Date Reserved: ______________________
Pay Type: ________ Credit Card #: _________-________-_________-_________ Expires: ____/_____ CVV2 Code: ___________
(CVV2 Code: 3 digits after the card number at the signature line, or 4 digit on the front of an American Express Card)
Name on Card: ______________________________________ Card Holders Signature: __________________________________
Thank you for using Limousine Services of Cape Cod, Limousine Cape Cod, www.limousinecapecod.com
To or From the airport, train or ships:
Arrival Time: _____________ International? ______
Airline: ___________________ Flight #: _________
Terminal/Gate: _____
Private Jet: ________________ Tail #: ___________
Leaves from: _______________________________
Leaves at: ____________ Date: _______________
To or From the airport, train or ships:
Arrival Time: ______________ International? ______
Departure Time: _______________
Airline: ___________________ Flight #: _________
Terminal/Gate: _____
Private Jet: ________________ Tail #: ___________
Time: __________________
Town: __________________________ Tel: __________________
Time:__________________
Town: _________________________ Tel: ___________________
Time: __________________
Town: _________________________ Tel: ___________________
Time: __________________
Town: _________________________ Tel: ___________________
Time: __________________
Town: _________________________ Tel: ___________________
Passenger:_________________________________
Tel/Cell: ____________________________________
Pick Up at:__________________________________
Address: __________________________________
Town: _____________________________________
Off of what road? ____________________________
Destination: ________________________________
Tel/Cell: ___________________________________
Pick Up at: ________________________________
Address: _________________________________
Town: ____________________________________
Off of what road? ___________________________
Destination: __________________________________________
Address: ____________________________________________
Destination: __________________________________________
Address: ____________________________________________
Destination: _________________________________________
Address: ___________________________________________
Destination: _________________________________________
Address: ___________________________________________
Destination: _________________________________________
Address: ___________________________________________