Pickup Time
DEPARTURE DAY
DEPARTURE DATE
PICKUP TIME
Pickup Location
Passenger 1
Address
City / Zip Code
Home phone
Cell phone
Email address:
Extra Stop (Optional)
Passenger 2
Address
City / Zip Code
Home phone
Cell phone
Email address:
IF YOUR PICKUP LOCATION IN HOTEL OR COMPANY
Name of Hotel /Company
Address
City / Zip Code
Room #
Drop off Location
Airport
Airline
Flight #
Pier #
Passengers
Adult
Children
Baggages
Coupon Name/Code
Choose Your Car
PAYMENT
Payment Type:
Credit Card  Information:(if payment with Credit Card)
Name on Card
Credit Card #
Expiration Date
Security Code
Credit Card Billing Address :
Street Address
City / Zip Code
Special Instructions
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S A S Limousine & Sedan Services
TCP - 22524
1.866.666.6858
Departure Reservation :
925.308.5555
650.396.7777

Toll Free
1.866.666.6858

E-mail
samy@saslimo.com

for corporate
info@saslimo.net