Vigor

Limousine Order Form

Customer Information

Company Name:

*Contact Person:

*Telephone Number:

Fax No.:

*Email:

Passenger Information

Name of passenger:

Telephone Number:

Trip Details

Limousine Type

4-Seater Benz S320(W220)

6-Seater MPV

One Way

Round Trip

Hourly Rental Hours

Arrival

Date:

(dd-mm-yyyy)

Flight Number:

Flight Time:

No. of Passenger:

Pick-up Place:

Destination (Hotel or Address):

Other Instruction:

Departure / Local transfer

Date:

(dd-mm-yyyy)

Flight Number:

Flight Time:

No. of Passenger:

Pick-up Place (Hotel or Address):

Pick-up Time:

Destination:

Other Instruction:

Fare

Please choose the payment method: *


Credit Card		Bank Transfer

Credit Card Detail		Bank Transfer Remark
Visa Master		Our Customer Services will contact you later. We will confirm your booking after full payment is made. (72hours before services rendered)
Name of Card Holder:
Credit Card No.:
Expiry Date:	(mm)/(yyyy)

* Mandatory Fields
**For Arrival transfer kindly proceed to our airport counter at Arrival Hall B**
**The maximum waiting time for each transfer is 15 minutes after designated pick up time**
**Full charge will be applied for no show or cancellation within 24 hours before the service**

Limousine Order Form

Customer Information

Passenger Information

Trip Details

Fare

Credit Card Detail

Bank Transfer Remark