Imperial Limousines and Hire Cars

Imperial Limousines
and Hire Cars

Contact Tony Moses:

PHONE
0416 046 046

FAX
(02) 9787 3757

tony@imperiallimos.com.au

We accept all major credit cards and EFTPOS.

Please complete form and submit or fax for reservations or enquiries.

Please complete the form below as accurately as possible. Please allow 24 hours for confirmation of your reservation.

Date of Event:
Occasion:
Name:
Pickup address:
Time of pickup:
Destination:
Contact No:
Email:
Number of Passengers:
Type of Car/s:
Special requests and/or comments:
I would like:	Book this date Please give me a quote Other (please specify)
Method of payment (if booking)	Cash Card
Name on card
Company name on card
Cardholder address
City	State Postcode
Cardholder phone number
Card number
Card verification value (CVV)
Card type
Expiration date
What is three plus 4?

Complete your booking/enquiry by clicking on the submit button above or by printing this page and faxing it to (02) 9787 3757.