In order to reserve your service, please fill out the detailed information requested below and we will call or email you to confirm reservations as soon as possible.
Please don’t hesitate to call us at
253-304-2263
for immediate attention.
Reservation for other destinations
(
*
fields are necessary to fill reservation form)
(Note: 20% Tip Compulsory)
Name
*
Pick-Up Type
House
Town House
Appartment
Office
Pick-Up Address
*
City
*
Zip Code
*
Destination Address
*
City
*
Zip Code
Pickup Date
*
Time
Hours
1
2
3
4
5
6
7
8
9
10
11
12
Minutes
00
05
10
15
20
25
30
35
40
45
50
55
AM
PM
*
E-mail
*
Contact No.
*
No. of Luggage
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Passengers
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Vehicle Type
Select Vehicle
Town Car 1-4 Passengers
Van 5-14 Passengers
Limo 1-6 Passengers
Limo 1-25 Passengers
*
Instructions
Payment Method (Credit Card):
we do not accept american express card
Card Type
--Select--
VISA
Marcard Card
*
Card No.
*
Expiration date
*
CSV No.
*
Billing Address
*
Zip Code
*
I Authorize Galaxy Town Car Services to Charge my credit card for future payment of transportation and services provided.
Signature: (please draw your signatures)
Clear Signature