Destinations Unlimited Limousines

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					                        Destinations Unlimited Limousines
                                                 Office/Reservations 704-655-RIDE (7433)
                                                         Fax: 704-795-LIMO (5466)
                                                           E-mail: Funlimo@netzero.com




         Event Day/Date               Pick-Up Time        Type of Limo                                   Chauffeur



         Number of Passengers         Estimated Hrs.      Type of Event                                  Destination(s)



         Name – Customer for Hire                                         Street Address

                                                                                           NC
         City                                                                              State                                Zip Code


         704-                                                                      704-
         Home Phone                     Work Phone                     Cell Phone        E-Mail Address
                   P LEASE COMPLETE THE FOLLOWING IF THE P ICK -UP ADDRESS AND CONTACT P ERSON IS DIFFERENT
                                                    THAN STATED ABOVE.



         Contact Name                                              Contact Phone                                  Contact Phone (Alternate)



         Pick-Up Address                                                                      Pick-Up City                          Pick-Up State/Zip
                                                        DIRECTIONS/SPECIAL INSTRUCTIONS




                           CREDIT CARD INFORMATION                             Rate                      X                Hrs     = $
         Card Number                                                           Normal Rate    $
         Approval Code                                                         Vehicle(s) Charge
         Approval Code                                                         20% Gratuity
         Type of Card                           Expires                        Sub-Total
         Name                                                                  Deposit #1
         Address                                                               Deposit #2
         City/State/Zip                                                        Balance Due

Liability Agreement: To be signed and returned. We thank you for your business!!!

This agreement is a CONTRACT between Destinations Unlimited Limousine Service and the customer for hire of the limousine service and pertains
specifically to the performance by the customer in the limousine. Your credit card will be charged a $200.00 non-refundable deposit for any prom or hummer
reservation. Balance of charges on proms is due 2 weeks prior to prom date. All other events will be charged $150.00 non-refundable deposit upon
cancellation.

In addition to the normal charge for car and chauffeur any damage in excess of usual use and wear of the hired car will result in a minimum charge of
$150.00 for the repair and/or general cleaning of the car. This includes anyone getting sick and vomiting in the vehicle or spills. Decision as to the unusual
wear and use of the vehicle rests solely with Destinations Unlimited Limousine Service or its representative, and it’s decision is final.

                                DEPOSITS ARE NON-REFUNDABLE AND BALANCE IS DUE UPON ARRIVAL OF VEHICLE
                                      **NO DRUGS ALLOWED**MUST BE 21 TO POSSESS OR USE ALCOHOL**

x___________________________________________________                                          x__________________________________________________
        CUSTOMER SIGNATURE                                                                            DESTINATIONS UNLIMITED LIMOUSINE REP.