Time of show:___________AM-or-PM_ Date___________________
Number of Hours: ______ from______(am/pm) - ______(am/pm) *A
higher rate may apply for one way transport.
Reservation information: This is for a (circle one):
Contact phone number you may be reached: _______________-_______________-_______________
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.
I understand there will be a $150.00 charge for detailing if someone vomits
in the vehicle. (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#______________________________________________________
3 digit code on back
Authorizing Signature: ________________________________________ Todays date______/______/2006
Please send me a receipt to the address above:__Y__/__N__ -or-Please Email me my receipt
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)