Reliable Limo Inc, Kankakee, IL

Reservation Form

Name:

Corporation:

Home Address:

E-mail Address:

City:

Phone:

State:

Zip:

Cell Phone:

Pick-Up Address:

State:

Zip:

Number of Passengers:

Requested Service:

Sedan:		Limo Bus:		Dr. Appointment:
Stretch:		Airport Service:		Night Out:

Date of Service:

Special Instructions / Directions:

Airport:

MDW:

ORD:

We recommend pick up time 3 1/2 hours prior to departure time from Kankakee.

DEPARTURE INFORMATION:

Departure Date:

City:

Flight #:

Pick-Up Time:

Airline:

Departure Time:

ARRIVAL INFORMATION:

Arrival Date:

City:

Flight #:

Arrival Time:

Airline:

Form of Payment:

Cash Check Credit Card Credit Card (on file)

Order not confirmed until you receive a confirmation number.

- | -