If you need a reservation within 48 hours, please call our customer service dispatch center: (800) 555-5593
* Must be entered in the form to submit reservation request.

PICK UP INFO:

FIRST NAME

LAST NAME:

EMAIL ADDRESS *

DAY TIME PHONE:

CELL NUMBER:

CONTACT ME VIA:

CORPORATE ACCOUNT (IF ANY): *

RESERVATION INFORMATION

DATE OF BOOKING *

PICK UP TIME *

RESERVATION DURATION (HRS): *

TOTAL NUMBER OF PASSENGERS *

PICK-UP LOCATION / FLIGHT *

CITY / TERMINAL *

DROP-OFF LOCATION *

EVENT *

VEHICLE *

CHILD SEAT *

SPECIAL REQUEST *

SPECIAL INSTRUCTIONS *

CREDIT CARD INFO

Card Number

Exp. Month :

Exp. Year:

CVC :

BILLING ADDRESS & TEL
Billing Name :

Billing ADDRESS :

State :

Zip :

Phone :

Email :
How did you hear about us?




: I authorize Michaleslimo.com to charge the above credit card to fully reserve my event/car for the date chosen after I receive a confirmation email.