Denver Limousine Reservations
On-Line Reservation Request Form

Confirmation Information

The information you enter here will be used to confirm your reservation request via e-mail and/or telephone. All reservation requests must be confirmed and payment arrangements made in advance before we can schedule your reservation.

*Required

Contact Name:*

E-mail Address:*

Telephone:

( ) -

Passenger Pick-Up Information

The information you enter here will be used to make contact with the person or persons to be transported at the scheduled time and place of departure.

Party Name:

Number in Party:

Vehicle Type:

Primary Pick-Up Point:

Secondary Pick-Up Point:

Additional Pick-Up Point:

Pick-Up Point Special Instructions:

Date:

/ /

Time:

Destination:

If there are additional
stops list them here:

Special Instructions :

Airport Pick-Up Information

Information entered here will be used to identify and check for the actual arrival time of your incoming flight, if your primary pick-point is at an airport. Do not complete this section if your primary pick-up point is a residence, office building or hotel.

If your pickup-point is Denver International Airport, please read carefully and then print a hard copy of the DIA Mandatory Directive for your reference when you arrive. These mandatory procedures must be followed exactly in order to allow your driver access to the passenger pick-up area to meet you. Security procedures may change in the future, so always read and print this directive before submitting your request.

Scheduled arrival time should reflect time entered into Passenger Pick-Up Information above. Our dispatchers will check for delays or early arrivals and adjust the driver's schedule, accordingly.

Airport: Airline: Flight #: From:

We offer 6 different methods of Denver Airport Pickup Service.
Choose the method that suits you best!

Denver Airport Pickup Method
	Select your Airport Pickup Services	Price	Choose One
1.	Upon arrival call for Chauffeur to pick you up at curbside	$6.00
2.	Chauffeur will wait for you to arrive and pick you up at curbside	$12.00
3.	Chauffeur will meet you at your baggage carousel in airport	$55.00
4.	An airport representative will meet you and escort you to your limousine (You can designate where to meet)	$65.00
5.	For International Arrivals - A Chauffer or airport representative will meet you and escort you to your limousine (You can designate where to meet)	$65.00
6.	An airport security representative will meet you at your Gate (must be pre-approved by the airport)	$165.00 plus parking

	Return Trip Requested
	Select the date and time of departure for the return trip. Pick-up point and return destination are exactly reversed in location from original trip. If different pick-up point location is desired, please make a separate request.

Date:

/ /

Time:

If there are any other special instructions or comments, please tell us:

Complete your reservation by filling in the form below with your credit card information:

Authorization to Charge Credit Card

Executive Transportation is hereby authorized to charge my credit card for all transportation charges that are incurred with Executive Transportation at my request. By checking the Authorization box below you are authorizing the transaction. This authorization, is valid whether or not a charge slip has also been signed. All information will be kept strictly confidential.

Type of Credit Card:

Visa

American Express

Diners Club

Master Card

Discover

Optima

Details of charges will be mailed or emailed to the address information provided below.

**Not Required

Company:**

Address:

(where credit card bills are sent)

City:

State:

Zip:

Phone:

Fax:**

Credit Card Number:
Name on Credit Card:
Expiration Date:
Security Code:	For details about Security Codes, Click Here
Authorization:	By placing a check here I authorize Executive Transporation, Inc. to make charges on my credit card as listed above. If for any reason the account balance is not paid, I agree that I will be liable for any and all reasonable legal fees and costs, in addition to my outstanding balance.
	Security Question: We hate spam as much as you do. To help us curb this practice please identify the picture below.

General Information

Chauffeur/Limousine Service Gratuity suggested: 20%.
Hourly rates apply to Denver metro areas only.
Mileage rates apply to all out of town areas and mountain locations.
All fleet vehicles are driven by Safety Certified Chauffeurs.
All Executive Transportation of Denver employees are federal background checked.

48 hour cancellation policy

The booking client is responsible for their notice to cancel within a 48 hour period, which includes, but not limited to: airline flight change, canellations, diversions, or written proof of medical emergencies, failure to notify our office will result in a full transportation charge.
Fuel Surcharge: 8% Metro, 10% Rural & Mountains
FULL BILLING WILL BE APPLIED TO ANY RESERVATION THAT IS CANCELLED
TWO HOURS OR LESS TO RESERVATION TIME