Book The Trip

Please print this form, fill it out, and fax it to us at 760-683-2252 to finalize your order.  No cover page necessary. 

Name of Trip Organizer:

Telephone Number:

Email Address:

Number of Passengers:

Date of Trip:

Authorized Amount:

$

Name as it appears on card:

Billing Address for card:

By signing below, I authorize New York Party Shuttle LLC to charge the above credit card for the cost of the trip and  I agree to pay all charges in accordance with my credit card agreement.  I hereby confirm that all sales are final and that the cost of the trip is non-refundable.

________________________________

Authorized signature