Destinations Unlimited Limousines
Office/Reservations 704-655-RIDE (7433)
Fax: 704-795-LIMO (5466)
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
City State Zip Code
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
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
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**
CUSTOMER SIGNATURE DESTINATIONS UNLIMITED LIMOUSINE REP.