Internet Reservation Form
Welcome to Alert Limousine Internet Reservations. Please fill in all fields with BLOCK CAPITALS.
Any questions, please call
Trip Date:
Pickup Time:   Duration (Hours:Minutes) :
Customer #:
Passenger #:    OR Passenger Name:
Vehicle Type:   Number of Passengers:
Ordered By   Purchase Order #:
E-Mail:
PICKUP INFORMATION
Address1:
Address2:
City: State: Zip:
Airport:   Flight Time:
Airline:   Flight Number:
DESTINATION INFORMATION
Address1:
Address2:
City: State: Zip:
Airport:   Flight Time:
Airline:   Flight Number:
Payment Type:
Name as it appears
on credit card:
Credit Card Number:   Exp:
Billed to Address:
Billed to Zip
OR Use same address as
Pickup   Destination
Security Code:
Special Instructions:


Thank you for your booking. Please review the above itineary before submitting. Our cancellation policies are as follows: Airport Transfers: 4 hours notice without penalty. Stretch Limousines: 48 hour without penalty. Group Van: 48 hour without penalty. "NO SHOWS" are subject to the full charge against the credit card provided for guarantee. PLEASE CALL OUR RESERVATION CENTER AT 1-877-344-2517 TO MODIFY YOUR ITINEARY OR E-MAIL US AT: Alertlimo@verizon.net . Thank you