CARELY LIMOUSINE LTD - RESERVATION FORM

Client Information  (Agents Only)
Company Name: Tel No. :
Contact Person: Fax No. :
Address:
E-mail:
Passenger Details:
Guest Name: Tel No. :
Appointment Date:

Time:

 Flight No. :
Pick up Location: ¡@
Destination:
Vehicle Type: Mercedes-Benz: S320L
Nissan Elgrand 6-seater
Stretched Mercedes-Benz 7-seater
24-seaters Mini-Bus
CROSS BORDER Limousine 4-seater
CROSS BORDER Limousine 7-seater
Payment Method:
Payment: CASH
American Express Credit Card
American Express Credit Card Information
¡@ Name of Card holder 
¡@ Card Number  - - 
¡@ Exp. Date  /
Total Amount : HK$   (Exchange rate: 1 USD = 7.7 HKD)
¡@ ¡@ ¡@
¡@ ¡@ ¡@
¡@ ¡@ ¡@
¡@ ___________________________ ___________________________
¡@ Hirer Signature AMEX Card Holder Signature