Name:____________________________________ Address:_________________________________________________________________________

 City/Town:____________________________ Phone#:_________________________ Email:______________________________________________

Brides Name:_______________________________________ Bridal Party Pick-up Address:________________________________________________

Bridal Party Pick-up Time:______________ Limousine Size: (Circle One):  6 Passenger   8 Passenger  10 Passenger  20-22 Passenger Coach

Grooms Name:_______________________________________ Groom & Ushers Pick-up Address:__________________________________________

Groomsmen Pick-up Time:_______________ Limousine Size: (Circle One):  6 Passenger   8 Passenger  10 Passenger  20-22 Passenger Coach

Ceremony Location & Address:_________________________________________________________________________________________________

Photograph Location:__________________________________________________________________________________________________________

Reception Location & Address:__________________________________________________________________________________________________

Special Instructions:___________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

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Wedding Package Price Quoted:____________________ Number of Hours:_______ Deposit:__________________ Balance Due:_________________

All Deposits are non-refundable. All balances must be paid cash upon arrival of driver. 20% Gratuity Not Included in Price

       I, __________________________________________take full responsibility for any damages done to this Limousine while renting or leasing,

and I accept full responsibility for all other persons in this party while renting or leasing.

SIGNATURE: ________________________________________ Date:_______________

 Alcohol Will Not Be Permitted for Minors