Driver:

Job #

Affordable Limousine LLC "The Best Deal In Town"

2950 Prairie St. Suite 700, Grandville, Michigan 49519

(616) 299-1812 or (800) 400-8064

Name

Limo Size

Mailing Address

Limo Charge      $

(+20% Gratuity)

Total Charge      $

Deposit $

Home Phone #

Balance Due      $

Cell Phone #

Depost Method:

__Cash

__Check

__Credit Card

How did you hear about us?

Overtime $

Per Hour

Occasion:

Overtime Permitted Unless Limo Has Further Commitments

Date of Occasion:

Arrival Time:

AM/PM (circle one)

For Wedding Use Only

Ending Time:

AM/PM (circle one)

Church Name:

Hours of Use:

Church Address:

Pick Up Address:

Reception Hall:

Drop Off Address:

Reception Hall Address:

Additional Addresses :

1. NO CHECKS ACCEPTED 10 DAYS PRIOR TO APPOINTMENT.

2. CASH ONLY ON DAY OF APPOINTMENT.

3. DEPOSITS ARE NONREFUNDABLE 10 DAYS PRIOR TO APPOINTMENT. 50% REFUNDED 30 DAYS PRIOR TO APPOINTMENT.

4. $25.00 CHARGE FOR RETURNED CHECKS.

TERMS:

1. VEHICLES CAN NOT EXCEED CAPACITY.

2. NO HANGING OUT THE WINDOWS.

3. THE CLIENT WILL PAY A $100.00 CHARGE FOR ABNORMAL CLEANUP, OR COST OF DAMAGES.

4. THE CLIENT WILL PAY ANY FINES CAUSED BY THE CLIENTS.

5. IN CASE OF UNEXPECTED BREAKDOWN, ACCIDENT, SEVERE WEATHER CONDITIONS OR ANYTHING THAT MAY DELAY OUR ARRIVAL, I UNDERSTAND SHALL TAKE

NO RECOURSE.

6. NO EATING OR SMOKING IN LIMOUSINES. USE OR POSSESSION OF NARCOTICS OR ANY OTHER ILLEGAL SUBSTANCE IS PROHIBITED.

7.NO ALCOHOLIC BEVERAGES SHALL BE CONSUMED BY ANYONE UNDER THE AGE OF 21.

8. IF CONDUCT GETS OUT OF CONTROL THE DRIVER MAY, AT HIS DISCRETION, TERMINATE THE RIDE AND NO REFUND WILL BE GIVEN.

I, The undersigned agree to these terms and conditions

X

Please  X    if needed

(If under 18, must be signed by parent or legal guardian)

ICE

FOR OFFICE USE ONLY

JUST MARRIED BANNER

Special Instructions