Stretch
Limousine, Inc.
Phone: 773-230-1637 Fax: 708-452-2998
info@stretchlimochicago.com
FAX
RESERVATION
Customer Information:
First Name: _________________________ Last Name: ____________________________________
Street: _____________________________ City:
Phone Number: ______________________ Fax Number (If any): _____________________________
Service Requested Information:
Type of Occasion: ________________________________ Date of Service: _____ / _____ / _______
Exact Time: _______________ Duration: _______________ Limo Size: ____________ Persons
Pick-Up Address:
Business (if applicable): ______________________________________________________________
Street:
_____________________________ City:
Drop-off Address:
Business (if applicable): ______________________________________________________________
Street:
_____________________________ City:
For airport service, please provide additional information:
Airport Name: ___ ORD-O'Hare ___
MDW-Midway ___ Pal waukee
(check one) ___ Du Page ___ Meigs Field ___Other: _______________
Airline: ______________________ Flight Number: __________
Date of Arrival/Departure: _____ / _____ / _______ Time of Arrival/Departure: _______ A.M / PM
Comments: ________________________________________________________________________
How did you hear about Stretch Limousine? _______________________________________________
Note: Please also fill out the
credit card authorization form. For
wedding services, please fill out the additional contract form.