reservation

Leisure Limousine and Sedan Service

Reserve a Limo Here
Click on "Terms of Hire" to read
our policies.

Contact Information

Last Name:

Email:

First Name (or Business Name):

Home/Business Address:

City::

Zip:

State:

Phone:

Cell Phone:

Best Time To Call:

Today's Date

Reservation Information *Note: Internet reservations must be placed at least 48 hours in advance
**Reservations for SUV and HUMMER require 1 week advance notice with no guarantee of availability

* Pick-Up Location (name of church, restaurant, etc.) with Address:

* City:

State:

Zip:

* Vehicle Type:

* Pick-Up Date

* Pick-up Time:

Drop-Off Location (name of reception hall or other facility) with Address:

City:

State:

Zip:

* Drop-Off Time:

Trip Details: Please list any details that will help us make sure your special occasion is
memorable. For weddings, list your colors. List any stops, (kodak moments) , special details about
the guest of honor, any other special considerations for your group.

* Select Type of Service/Event

Number of Passengers:

Credit Card Information: No amount is being charged to your credit card at this time. This is for holding the reservation only and will only be
charged a fee if the reservation is cancelled. See Terms of Hire. If paying by credit card, you will not be charged until 24-72 hours prior to your reservation date.
If paying by cash or money order, the amount will due on or before the date of service

Name on Credit Card:

Credit Card Expiration Date:

Type of Credit Card:

* Signature Verification Number

Credit Card Nuimber:

I have read and agree to the Terms of Hire.

Questions/Special Requests:

*All reservations will be followed up and
confirmed by phone

PROUDLY ACCEPTING:

email:ride@leisurelimoservices.com
Mailing address: 5008 NW Cuming Street
Lincoln, Ne 68521