AIR LIMOUSINE SERVICE

*Firstname:

James

*Lastname:

McSmith

*E-mail:

info@aaaairlimo.com

Company:

Air Limousine Service Inc.

Address:

1234 Main Street

State/Province:

Quebec

Country:

Canada

Postal Code:

J7W 9R0

*phone:

- - x

514-239-0902

Fax:

- -	514-239-0902

*Vehicle Type:

Super Stretch Limousine - 8 pass.

*Service Type:

Night on the town

*passenger #:

5 pass.

*Pick Up Address:

1123 Toronto Main Street Montreal - QC Canada 92646

*drop off:

Business Center, Ottawa Bank St. Ottawa - ONT Canada J0P 5L0

*Reservation Date & Time:

/ /

:

November 6 2006 12:00 P.M.

*How long do you need the limousine service?:

5 hours consecutive

*Method of Payment:

Credit Card

*Credit Card Type:

Visa

Credit Card Number:

4520.1234.5678.9012

*Expiration Date:

/

02-12

Additonal request/comments:

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