AAA LIMO INC
Please include copy of credit card and driver license and all three pages
One way _______ roundtrip _______hour_______
Passenger name: _______________________________________________________________________
Passenger CELL: _______________________________________________________________________
TYPE OF CAR: _________________________________________________________________________
Pickup date: _______________________________pick up time_________________________________
HOW MANY CARS: _____________________________________________________________________
Pickup address OR Flight info :___________________________________________________________
CITY:____________________STATE:_____________________________ZIP:______________________
JOB DETAIL:
__________________________________________________________________________
_____________________________________________________________________________________
RETURN INFO :________________________________________________________________________
_____________________________________________________________________________________
Fare :___________________________ 20% service charge_____________________________
Total amount : _______________________________________________________
All deposits are NON refundable. 2. Company is not liable in the event of mechanical breakdown while on charter and will only be responsible for making up lost time at a mutually agreed date. The client assumes full financial liability for any damage to the limousine caused during the duration of the rental by them or any members of their party. A fee of 500.00 for each carpet or seat burn. Sanitation fee is 250.00. Drug use is prohibited by law. Any fines will be paid for by the customer. The driver has the right to terminate run without refund (if there is blatant indiscretion on the part of the client's)). It is Illegal to stand through the sunroof. Smoking is not permitted in the limousines . 4. Overtime pay will apply after the first 15 minutes of prearranged time described on the run sheet. 5. Not responsible for delays or the termination caused by unsafe road conditions , accidents, etc. 6. Not responsible for articles left in the limousine. 7. Balances to be paid to the driver on the run date before the beginning of the run. 8. Vehicles cannot be loaded beyond seating capacity.9.All cancellation for hourly rental wedding prom bachelor party must be made fourteen days advance.
Signature Today’s
date: _____________________________________________________________________________________
CARD BILLING AUTHORIZATION FORM
I
hereby Authorize AAA LIMO INC. to charge my credit card for limo rental services;Home phone (____ )______________________________
Work (Mobile) phone(____ )_________________ Fax no:( )_________________
TOTAL AMOUNT : ________________________________
____________________________________________ __________________________________________
PRIMARY CREDIT CARD ACCOUNT ALTERNATE CREDIT CARD ACCOUNT
__________________________________________ __________________________________________
Name on credit card (exactly as printed)
____________________________________ ____________________________________
Billing address for credit card (Street, Apt.#)
____________________________________ ____________________________________
City, State, Zip
____________________________________ ___________________
CBB no : _________Credit card number
Expiration date ______/__________ ______/__________
The issuer of the Card identified on this sales slip is authorized to pay the Amount indicated as Total. Upon proper presentation. I acknowledge receipt of goods and services in the amount as charged. I affirm my obligations under the Card member Agreement. All accounts are subject to Terms and Conditions: please read our terms and conditions on our website.
___________________________________________ ___________________________________________
Signature Today’s date
Please continue to the next page
Please provide a copy of the primary credit card that you are using for your account.
Front copy of the Credit Card
Back side copy of the credit card
Please provide a valid ID picture as the
name must
match the Credit card