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 from pickup address to Airport
(* fields are necessary to fill reservation form)
(Note: 20% Tip Compulsory)
Personal Information
Name *
Pick-Up Type House  Town House Appartment   Office
Address (Pick-Up) *
City *
Zip Code *
E-mail *
Contact No. *
Pickup Address Information
Pick-Up Date *
Time *
No. of Luggage
Passengers
Vehicle Type *  
Instructions
Payment Method (Credit Card):
we do not accept american express card
Card Type * 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)



  
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