Event's Limousine
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PAYMENT
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Full Name
Email
Cell Number
Charge Amount
Credit Card #
Expiration Date
Card ID
Billing Address
Billing State
Billing Zip Code
Pickup Full Address
Pickup Date
Pick-up Time
1st Stop Full Address
1st Stop Waiting Time
2nd Stop Full Address
2nd Stop Waiting Time
Drop-off Full Address
Drop-off Time
Event Type
Adult Passengers
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Minor/Child Passengers
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Describe your event or any special needs!
Gratuity
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15%
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