Meeting & Events Form

* Required Information

Please Provide Main Passenger's Name *

Total Number of Passengers *

Contact Number *

Email *

Type of Transportation Service

Vehicle Type?

Pick-up Date *

Pick-up Time

Enter full Pick-Up Address or Name of Location

Payment Information

All Credit Card Information is processed securely by J & R Connecticut Limousine Services

Credit Card Type

Credit Card Number *

CVV Number *

Expiration Date

Select a return date *

Return time *

Name *

Address *

Phone *

Reservation Details