Contract

PLEASE PRINT OUT AND COMPLETE THIS AUTHORIZATION AND RETURN IT TO OUR OFFICE BY FAX OR BY E-MAIL

or
Fill the online form below and Submit

Contact Information

Full Name :
Phone No. :
E-mail :

Transportation Service Information

Type of Service :
Vehicle Type :
Event Instructions :
Total Hours :

Pick Up Info

Address :
City :
State :
Number Of Passengers :
Date :

Destination

Address :
City :
State :
Date :
Drop Off Instructions :

Method of payment & Billing:

Contract Rate :
Estimated Quote :
Estimated Hours :
Credit Card Number :
Expiration :
The last 3 or 4 digits on the back of the credit card :
Credit Card Billing Address :
City :
State :
Zip :
Total Charges$ :
Gratuity :
PayPal :

(15% gratuity, and 8% which includes service fee, puc state tax, fuel surcharge will be added to all final bills, except already added to the contract). Full contract charge will apply and is non-refundable .All deposit are non-refundable.

I have read and agree to the terms and conditions.
Client Name (Print) :
Client Signature :
Date :

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