Template 1

If you are an existing customer you may fill out our online reservation form.

If you are a new customer please fill out our fax reservation form, complete it and fax it to us to reserve your vehicle. Click here to download the FAX form:

JR Limousine On-Line Reservation Request


Date:
Pick-up time:
Name of passenger:
Number of passengers:
Select the vehicle:
Pick up from (full address):
Pick-up address phone number:
Pick-up airport:
Carrier or FBO:
Flight number::
Tail Number (if applicable):
Arriving from:
Arrival time:
Destination 1:
Destination 2:
Destination 3:
Destination 4:
Destination 5:
Destination 6:
Drop off time:
Drop off address (full ):
Drop off airport:
Drop off Carrier or FBO:
Drop off for Flight number::
Tail Number (if applicable):
Departing to:
Departure time:
Special instruction:
Name of person making this reservation:
Phone number of person making reservation:
Email address of person making reservation:
Name of Company:

JR Limousine Account Name:

• Welcome • Services • Our Fleet • Rates • Reservations • FAQ • Contact us •