Date of Occasion:___________________________________________
Name:___________________________________________________________________________________
Pick-up Address:__________________________________________________________________________
Phone#:___________________________
Driver________________________Vehicle________
Milage Out________________ Milage In_________________
TOTAL HOURS______@___________+ 20% service fee___________ ( NOT A GRATUITY )
Amount Owed______________________________
TIP_____________________
TOTAL_____________________
TOTAL DOES NOT INCLUDE DRIVER TIP ____________ initials
Number of Passengers:_____________
Pick-up Time:________________________
I accept full responsibility for any damages
that may occur while renting this Limousine. I accept full responsibility for all other persons in my party. I have accepted this limousine upon arrival and have agreed to the above price. I will pay for all services rendered. We Reserve the right to Refuse / Terminate service for any reason.
I understand that Adventure Limousines is NOT responsible for any items left inside of Limousine such as keys, cell phones. purses. etc. Please take any valuables with you while not inside of Limousine.I also understand that I will be responsible for the following charges should they occur;
In addition, I understand that I will also be responsible for any damage to the limousine inside or out from negligence caused by myself or my party.
1) Smoking in Limousine - $100.00 fee
2) Sick inside of Limousine - $200.00 fee
3) Broken glass (each) - $20.00 fee
4) Burn / Tear on seat or carpet - $450.00 fee
5) Excessive Soiling / spillage - $100.00 fee
Overtime Rates - Excursion @ 125 per hour - 14 passenger @ 85 per hour - 10 passenger @ 65 per hour + all vehicles will have a 20% driver service fee added for each hour.
SIGNATURE
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