Limo & Sedan Reservations - Charge and Ride Limousine Inc.

Make a Reservation

IF YOUR RESERVATION REQUEST IS WITHIN NEXT 24 HOURS, PLEASE CALL 703-567-7433

Complete the following form to request a reservation. NO credit card information is required at this time. * = required field

First Name:

Last Name:

Reserved By:

Phone:

Company Name:

Address:

City:

State:

Zip Code:

Email Address:

Passenger Phone:

Existing Customer

*Date of Pick-Up:
ex. 01/jan/99

*Time Of Pick-Up:

*Select Your Desired Vehicle:

*Select Event:

*Rental Period:

Num Of Passengers:

Pick-Up Location
*Business / Res. Name / Airport:
Address Line 1 / Airline Flight No:
Address Line 2 / City Of Origin:
City:
State:	*Zip:

Destination

*Business/ Res. Name / Airport:

Address Line 1 / Airline:

Address Line 2:

City:

State:

*Zip

Payment by

For credit card option you must enter the card information below.

Card Type:

Expires:

Card Number:

Security Code:

Billing Zip Code:

Name on Card:

Pricing Not Available
* Please call Charge & Ride Limousine Services Inc at 703-567-7433, 202-441-8010, 202-333-2100 for Price Quote.

Price Quote Policy
Please be advised that all rates are estimate only. Rates Subject to Change Without Notice.

Comments / Special Instructions:

Change / Cancellation Policy
Sedan cancellation must be made 4 hours in advance prior to scheduled pick-up. if not, customer will be billed the full amount. All other cancellations must be made within 24 hours the time you made reservation if not customer will be billed for 50 % of total amount.