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Fletch's Party Bus & Limo
Secure On-Line Reservation Form
Online reservation must be made within 24 hours in advance. For same day reservation or immediate service, please call us at (941) 927-2877
Please enter the following information. Fields marked with ( * ) are mandatory to be filled up.
 
Contact Info
Your Name:*  
Company Name:  
Home Phone:*  
Business Phone:*  
E-mail Address:*  
   
Transportation Information
Pick up Date:*  
/ /
Pick up Time:*  
/ /
Pick-up Location:*  
Drop-off Location:*  
Type of Vehicle:*  
Number of Vehicle Requested:  
Number of Passengers:*   
Number of Luggages:  
Special Requests, or Comments:   This section for Special Requests and Comments.
   
     
Payment Information
A credit card is required to guarantee this reservation.
(Visa/ MasterCard/ American Express/ Discover)

No charges are billed to the card until the reservation has been confirmed.

Please provide credit card details below. If any requested information is not applicable type in "NA"

Credit Card Used:*  
Card Holder Name:*  
Card Number:*  
Card Security Code:*  
Exp. Date:*   DD/MM/YY
Billing Address:  
City:*  
State:*  
Zip:*  
Country:*  
I have read and agree to the terms and conditions.*
(Please insert the characters you see in the text box below)
   
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