Reservations

Secure Online Registration Form

Name *

Phone *

Email *

Event Booked *

Pick Up Time *

Number of Passengers *

Pick Up Location *

Name of Destination *

Address of Destination *

Return Pick Up Time *

Cost *

Paid *

Balance *

Special Instructions *

Message

Submit

Phone: +1-905-728-1553 · Toll Free: +1-866-339-0500 · Cell: +1-905-259-6120 · Email: Jerry’s Limousine Service