Please fill out the form below to reserve vehicles. Once your order is submitted, you will receive a confirmation via email.

For additional information, please call our office at (203) 934.6331 or toll-free at (800) 255.5466.

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(* denotes required fields)

Funeral Home *

Date of Service *

Deceased Name *

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Limousines:

Driver * YesNo

Pick-up time *

Pick-up location *

Number of limousines

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Hearses:

Driver * YesNo

Pick-up time *

Pick-up location *

Number of hearses

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Additional Information

Contact Phone #

Email *

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