| Pick Up Information
|
| Pick up Date |
Verify Month & Date |
| Pick Up Time |
Please choose correct AM/PM |
| Passenger's Name |
First Last
|
| Type of Vehicle |
SUV / VANS are
priced at a higher rate |
| Phone |
A valid telephone/mobile number |
| Email*(Required) |
|
| Credit Card Billing Zip Code |
|
| Pick Up Location
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
|
| For
Airport Pick up & Train Station Pick up
Only |
| *Airport Name: |
|
| Air Line Name: |
|
| Flight No: |
May enter Train# here |
| Departure City: |
|
| Arrival Time:
|
Please choose correct AM/PM |
| Drop Off Location
(If drop off location is Airport/Train station- No need to
enter address) |
| Airport Name (If Applicable) |
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
|
| Comments |
This form constitutes a contract.
Driver will be dispatched unless you call to cancel.
There will be no further communication from us, unless required.
|
|
Drivers
are set up to accept all major credit cards, cash or checks. If you need to pay
in advance, please contact our office. We do not require a credit card to secure
the reservation.

|
RESERVATIONS
|
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(703) 471 1031
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Nationwide Toll free 877 665 3292 (24 Hours)
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(443 ) 313 0019(Fax)
|
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E-mail :
burkilimo@yahoo.com
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Toll Free 1-877-665-3292
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Copyright ©2000-DCSEDANS.COM Intl..
All Rights Reserved.
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