1 13910 NW 6 Court North
Miami, Florida 33168 305.256.0000 Toll Free 1.800.506.LIMO
(5466)
Please Complete and Fax to 305.687.2092
Client Information
Full name:
Phone:
Company name:
2nd Phone:
E-mail:
Referred By:
Rental Information
Pick-up name if different::
Date of Rental:
Pick-up time:
Drop-off time:
Pick-up address:
Destination address:
Airline:
Flight Number:
Pick-up Phone:
Type of Drive: Transfer - [Pick-up and
Drop-off only] one (1) hour Minimum
Check type of vehicle: (circle one)
Airport Sedan - 4 Pax
Passenger Van - 11 or 14 Pax
Lincoln Limousine - 6 Pax
Lincoln Limousine - 10 Pax Hourly (Minimums may vary)
Excursion Limousine
MiniBus - 28 Pax
MotorCoach Bus - 49 Pax
Number of Passenger:
No. of Hours:
Tolls / Parking:
Full name on Credit Card:
Rate:
Less Deposit:
Card Billing Street Address:
Gratuity:
City
State
Zip
Code:
STC / Port / Other:
Card Type: Amex, Diners, Visa, MasterCard.
Credit Card Number:
Expiration Date:
CVC Number:
Customer Signature:
I authorize Ambassador Limousine & Transportation
Service to charge my credit card.
All deposits are NON refundable. Company not responsible for delays or trip
terminations due to weather
or unsafe road conditions. Please keep traffic in mind when making a
reservation. By signing this I agree to terms
and conditions listed on the companies website. Vehicles Cannot Be Loaded Beyond
Seating Capacity. Parking
& Tolls are not included in price. Client agrees to pay any additional charges
for any additional services or damage
to vehicle that are not specified on this reservation form. A 10% STC charge
applies to all reservations.
WWW.MYAMBASSADORLIMO.COM