Point-to-Point (one-way) Reservation Request
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Customer Billing Information
Complete Name: *
Company Name:
Billing Address 1:
Billing Address 2:
City:
State:
Zip Code:
E-mail: *
Home Phone: *
Work Phone:
Cell Phone:
Fax:
Service Information
Vehicle:
Vehicle Requested:
 

15% chauffeur fee, 9% license fee, and gas surcharge are additional.

Pick Up Details:
Date of Service:
# of Passengers:
Pick Up Time:
AM  PM
Passenger Name(s):
Pick Up Location:
Address:
City:
Zip:
Cross Streets :
Location Phone/Cell #:
Drop Off Location:
Address:
City:
Zip:
Cross Streets :
Location Phone/Cell #:
Special Instructions: (golf clubs, skis, extra luggage, etc.)
 

All information is sent via our Secure Server.

* = Required Data.

RESERVATION REQUESTS ARE NOT EFFECTIVE UNTIL CONFIRMED BY LEGRANDE AFFAIRE BY PHONE OR EMAIL AND DEPOSIT HAS BEEN SUBMITTED