\
 

Reservations

Jerry's Limousine Service • 447 Bader Avenue • Oshawa, ON L1J 3E9 •
Phone/Fax:905-728-1553 • jerryslimousine@rogers.com

Secure Online Registration Form


Customer Information

Name:
Telephone Number:
Email:
Event Booked:
Pick up Time:
Number of Passengers:
Pickup-Location:

Destination Information

Name of Destination:
Address of Destination:
Return Pickup Time:

Payment Information

Cost:
Paid:
Balance:

Special Instrucations

Special Instructions:




Proud to be a Member of the
Ontario Limousine Owners Association
Phone/Fax: 905-728-1553
Toll Free: 1-866-339-0500
E-mail: jerryslimousine@rogers.com
We Accept

Site Design by Adrian Dusanowskyj | (dusanowskyj@hotmail.com)

Web Hosting provided by DurhamBizMarketing.com
Serving the Durham Region since 1999 (Whitby, Oshawa, Port Perry, Clarington, Ajax, Bowmanville, Pickering, Kawartha, Toronto, GTA)

Durham Biz