| First print this contact. Please use black ink and print neatly.
After you have completed this form send. By signing this reservation
fax you adhere to all details of the contact and are completely
bonded to it. You will receive a confirmation if we agree to service.
|
Time of show:___________AM-or-PM_ Date___________________
Number of Hours: ______ from______(am/pm) - ______(am/pm) *A
higher rate may apply for one way transport.
Number of Limos/sedans:________ Number of Passengers:________
Reservation information: This is for a (circle one):
Bachlor party
- Bachlorette party - Wedding - Night on the town - Birthday - Prom -Corporate event -
Other special occassion-
Please state occassion if "other": ____________________________________________________
Contact phone number you may be reached: _______________-_______________-_______________
Email address____________________________________________________________________
Passenger cell#_____________-_____________-______________
Initial Pick-up Address:_________________________________________________________________________
Destination adress:____________________________________________________________________________
Then to:_______________________________________________________________For
_____hrs.____min
Then to:_______________________________________________________________For_____
hrs.____min
Then to:_______________________________________________________________For_____
hrs.____min
(Please Attach Additional Sheets for Any Information You Believe Necessary
to Help Us Serve You Best) *As
per your phone order you agree to the quote of:
$________.00 Per Hour @________X_______(#of limo(s)/sedans)
$________________________________
Pick up after Reception (applies to wedding only) $________________________________
20% Gratutiy $________________________________
Additional out of the Twin Cities area charge $________________________________
Less 30% Nonrefundable Deposite to reserve vehicile(s)
& Date $________________________________
Balance Due day of service $________________________________
*All reservations must be guaranteed by credit
card and deposit received to confirm reservations.
*All reservations must be cancelled at least 2 weeks prior to date to
avoid the full charge.
______
I understand there will be a $150.00 charge for detailing if someone vomits
in the vehicle. (Please Initial)
______ I understand there will be a non-refund to cancellations within
seven days and 30% non-refund within 14
days of contracted service. (Please Initial)
______ I understand
as the cardholder I am reasonable to any incidentals that may occur which
may include any damage to the interior and or exterior of the vehicle.
This also includes any stolen articles that we provide. (A complete walk
through of the vehicle will be completed before service begins. At which
time you may ask for such mentionable to be in place or not needed to
avoid an incident. (Please Initial)
______ I understand
that Executive Limos is NOT RESPONSIBLE for any lost or stolen articles
that may be in the vehicle at any given time. We suggest you ask the driver
to lock up any valuables in the trunk. It is also your reasonability to
retrieve any item that may have been left behind. Any items that may need
to be shipped via FedX or>UPS will incur a shipping and handing charge.
(Please Initail)
______ I understand
that any time over the contract will be added to the card holder and will
be charged accordinly.
By signing this form you agree
that (1) you are the credit card holder and (2) that you are requesting
the services listed above and (3) that you are authorizing this card to
be used for the requested services.
Fax this from once all feilds have been completed to:: 952-890-0404
We accept all these
major credit cards. Reservations must be placed on one. We suggest funds
for the service
be gathered in advanced.
Any dispute in service must be made within 35 days of service.
    
Circle card type:
Visa-Master-Amex-Diners-Discover: ..................................................................Card#______________________________________________________
Expiration: _________/_________
3 digit code on back
of card______________
Full Name on card as it appears: _____________________________________________________________
Authorizing Signature:
________________________________________ Todays date______/______/2006
Billing address for credit card:_________________________________________________________________________________
Please
send me a receipt to the address above:__Y__/__N__ -or-Please Email
me my receipt
to___________________________@________________________________
Please
confirm this reservation via email_____/ or phone_____ (check one)
We
offer a 20% off transportion for your guests to and from the airport!
Group
rates are available for you and your guests to stay at one of our recommended
hotels downtown. (Please call for info)
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