Imperial Limousines and Hire Cars

Imperial Limousines
and Hire Cars

Contact Tony Moses:

PHONE
0416 046 046

FAX
(02) 9787 3757

tony@imperiallimos.com.au

We accept all major credit cards and EFTPOS.

Please complete form and submit or fax for reservations or enquiries.

Please complete the form below as accurately as possible. Please allow 24 hours for confirmation of your reservation.

Date:
Day:
Name of client:
Phone number:
Fax:
E-mail:
Pick up from:
Flight no.:
Origin of flight:
Time:
Room number:
Destination:
Special requests:
Name on whiteboard:
Number of passengers:
Type of vehicle preferred:
Coach seating capacity:
Baby seat required?
If booking made on behalf of client ...
Name of person booking:
E-mail:
Company name:
Phone (work):
Fax Number:
Mobile:
Return Trip details (only fill in if a return trip is required) ...
Return Date:
Day:
Pick up from:
Time:
Room number:
Destination:
If travelling to airport:
Flight no.:
Time of flight departure:
Special requests:

I would like:	Book this date Please give me a quote Other (please specify)
Method of payment (if booking)	Charge hotel room Cash Card
Name on card
Company name on card
Cardholder address
City	State Postcode
Cardholder phone number
Card number
Card verification value (CVV)
Card type
Expiration date
What is three plus 4?
Complete your booking/enquiry by clicking on the submit button above or by printing this page and faxing it to (02) 9787 3757.