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MGM TRANSPORTATIONS      Home Page        Fax Reservation Form, Please Print & Fax it to us.

Date:                                                      Day:                                  Pick-up Time (am/pm):                    

Name of the Passenger(s):                                                                                                                       

Number of Passenger(s):                                    Vehicle Requested:                                                                

Pick-Up Address:                                                                                                                                   

Pick-Up Phone #:                                                                                                                                    

Pick-Up Airport:                                                                                                                                         

Carrier or FBO:                               Flight#:               Arriving From:                                                       

Tail#(if applicable):                                             Arriving Time (am/pm):                                                

Destination 1:                                                                                                                                          

Destination 2:                                                                                                                                          

Destination 3:                                                                                                                                          

Drop off Time:                     Address:                                                                                                    

Drop of airport:                                                                                                                                      

Carrier or FBO:                             Flight#:                    Arriving City:                                                     

Tail#:(if applicable):                                 Departing Time (am/pm):                                                         

Special Instructions or requests:                                                                                                              

Name of the person making this reservation:                                                                                           

Name of the person (s) who can authorize additional service:                                                                   

Phone Number:                                                                  

Fax Number:                                                                     

Company name:                                                                                                                                   

Card Number:                                                                Type:                                  Exp:                    

Name on the credit card:                                                                                                                      

Billing address:                                                                                                                                     

City:                                                            state:                                              Zip code:                   

Card holder signature:                                                                                          

To assist us in deterring fraudulent use of credit cards, please fax us an enlarged and lightened copy of the front and back of a your credit card and your driver's license along with this form signed to (213) 403-5573. I hereby authorize MGM  Transportation Services to apply charges to the above credit card, for transportation and related services, Which may rendered by MGM  Transportation Services and/or its affiliates. I fully understand that I may be charged minimum of 100% cancellation fee for any services ordered that is not canceled 48 hours prior to pick-up(72 hours out of country). A service charge of $10.50 will apply to all airport pick-ups for tolls and parking.  There is a 8% Admin. and license fee on all invoices. All rates, minimums, and policies are subject to change without notice and may vary from time to time.

 I authorize MGM  Transportation to charge the above credit card for any charges due.

 

MGM TRANSPORTATION    Tel: ( 310) 657-3646   eFax: (213) 403-5573

P.O. BOX 45139

Los Angeles CA. 90045