Reservation Information for Limousine Service

All online limousine reservations will be
processed in a 24 hour time period. For immediate service please call the toll
free number at (800) 791-8911, the Local number at (714) 642-0110 or Fax your request to (714) 908-7109.
In order to be valid, all orders must be confirmed by E-Mail or by phone. If you do not receive
confirmation in 24 hours, please call one of the above numbers.

Customer Information

Last Name

First Name

Address

City

State

Zip

Phone (required)

Cell Phone

Fax

E-mail (required)

Vehicle Type

Vehicle Type:

Type of Service:

# of Passengers:

Date/Location of Service:

Date of Service:

Pick Up
Location:

Drop Off
Location:

Pick Up Time
(PST):

Drop Off Time
(PST):

Airline (If applicable)

Flight # (If applicable)

Return Trip Date (If applicable)

Return Time (If applicable)

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 &
Middle Initial

Last Name

Billing Address:


Type of card#:


Credit Card#:


CV2# (Back of Card)


Exp. Date:


Payment Option



TELE (714) 642-0110, Fax (714) 908-7109 E-mail:rides@americanviptours.com
Copyright 2010 American VIP Transportation, LLC. All rights reserved.