Online Reservation Form

FOR RESERVATION ASSISTANCE(Call, Fax or Email):
Call: 800-432-5466 (Mention BriteLimo.com to get our Web-Special Rates)
Fax: 718-721-5700
Email: Reservations@BriteLimo.com

* indicates required fields.
Personal Information
*First Name: *Last Name:
Company:
*Address:
Address 2:
*City: State:
*Country: Zip/Postal:
*Daytime Phone: Fax:
*Mobile Phone:    
*Email:
Pick Up Information:
Pickup Date: Pickup Time:
DropOff Date: DropOff Time:
Vehicle Type: Pickup Type:
Pickup Airport:
*Airport Name:
*Airline Name:
*Flight ##:
*City Flying From:
  At Baggage Claim / Immediately After Customs
       *DISCLAIMER - Baggage Claim for Domestic Flights
       After Customs for International Flights
At Limo / Taxi Pickup Curb (if allowed at Airport)
Put Vehicle in Parking and Wait for Cell Phone Call from Driver
Drop Off Location:
Use the address information listed above:
*Address:
Address 2:
*City: State:
*Country: Zip/Postal:
Passenger Info:
## of Passengers:
Payment Info:
*Payment Type:
*Credit Card Information would be confirmed over the phone
Rate Info:
Base/Hrly Rate:
* Gratuity, Tolls and Parking are not inclusive.
I Agree
I agree By submitting this form you agree that
(1) that you are requesting the services listed above and
(2) that you are accepting the rates given and
(3) that you will provide the credit card info or cash for the payment