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You can also send an email, Info@vglimo.com or call 1-800-834-4214 or 301-890-5845.

*	Passenger's Name:
*	Email:
*	Phone:
	Fax:
	Kind of Vehicle Required:		---Select Vehicle---------- 6 Passenger Limousine 10 Passenger Limousine 15 Passenger Limousine Sedan Towncars 7 Passenger Van 15 Passenger Van 21 Passenger Van
	Pick Up Date		1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1998 1999 2000 2001 2002 2003 2004 2005
	Pick Up Time		AM    PM
	Pick Up Address:
	No. of Passengers:		Round Trip    One Way
	Destination:
	Comments/Instructions (Major Intersection, etc)