Booking Information
Your Full Name*:
Your Phone Number*:
Your Fax Number:
E-mail*:
If you're booking for someone else, please specify :
Their Full Name:
Their Home Phone:
Their Work Phone:
Partner's Name:
{If wedding, anniversary etc...}
Billing Address
Street:
City:
State:
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
ZIP:
Country:
Mailing Address
Street:
City:
State:
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
ZIP:
Country:
Credit Card Information (To hold the car)
Credit Card Type
Visa
MasterCard
American Express
Cardholder's Name:
Corporate card? Name:
Number:
Exp.. Date:
January
February
March
April
May
June
July
August
September
October
November
December
Event Information
* Please note that we cater ANY occasion.
Type of event:
Wedding
Corporate
Bar/Bat Mitzvahs
Birthday
Anniversary
City Tour
Baby Delivery
Engagement
Holiday
Prom/Homecoming
Reunion
Other service type not listed:
First Choice of Vehicle:
* If multiple vehicles or different vehicles for each part, please specify under
"Comments"
below.
Date of your event?
January
February
March
April
May
June
July
August
September
October
November
December
Comments
Time(s), Location(s), Phone Numbers and other useful information
Survey Information
How did you hear about Us?:
Word of Mouth
Search Engine
Phone Book
Newspaper
Show
Resource Book
Print Article
Other
Other? Specify:
Is this your first limousine rental? Y/N:a
BMC 770 Roy Street Seattle, WA 98109 / P: 206.283.6600 / F: 206.282.8007
bmclimo@aol.com