Date:    Day:   Pick-up Time (am/pm):

  Name of the Passenger(s):  

  Number of Passenger(s):    Vehicle Requested:Sedan   SUV   Limousine   Other

  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:   Email:

  Company Name:

  Card Number:   Type:    Pin#:  Exp:

  Name on the credit card:

  Billing Address:

  City:   State:   Zip Code:

To assist us in deterring fraudulent use of credit cards, please email us an enlarged and lightened copy of the front and back of a your credit card and your driver's license Reservation@mgmlimo.com. 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   Email: Reservation@mgmlimo.com

P.O. BOX 45139

Los Angeles CA. 90045