Reservations

Please do not fill out the reservations application, until you have summitted a request for a price quote.

Reservations
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
*
Cell Phone:
*
Email Address:
*
Brides Name:
Grooms Name:
Pick-up/Drop-off Information:
Date Desired:
*
Pickup Time:
*

A.M.
P.M.
Ending Time:
*

A.M.
P.M.
Pickup Address:
*
Destination Address:
*
Number of Persons?
Car Desired:

Type of Event:

Is it a Surprise?

Yes
No
If so - for whom?
Name on Front Plate (Extra $10- You do NOT get to keep it)
Max - 11 Characters
Champagne Service (Non-alcoholic) $12 extra

Yes
No
Detailed Directions to the first stop & any additional information:
*
Please print and fill out the following credit card authorization form (located below form fields) before submitting your reservation.
Email to jordanlimousines@aol.com
OR FAX TO 713.893.0208
Quick Survey:
How did you find our service?
What search engine did you use?
What key words did you use?
"By submitting this reservation you certify that you have read understand and will comply with the terms and conditions stated in the Contract for Limousine Service that appears on this website under "Forms". CONFIRMATION OF RESERVATION IS SUBJECT TO AVAILABILITY AND CREDIT CARD APPROVAL
Security code:
*
Do not enter anything in this field:

* indicates a required field

Credit Card Authorization Form

REFUND POLICY: (Broken Engagements Etc.) $150.00 cancellation fee anytime. Balance refunded if 60 days notice is given. ALL WEDDING AND PROM RESERVATIONS MUST BE PAID IN FULL 45 DAYS IN ADVANCE. NO EXCEPTIONS!