West Brothers Limo

#3 North Service Road

Sullivan MO, 63080

(573) 486-3178

Email limo@westbrothers.com

This contract must be signed, dated, and faxed back

with a copy of your Drivers License and a credit card.

EVENT INFORMATION

DATE ____________________ NUMBER OF PASSENGERS ___________________

TYPE OF EVENT _____________________________________________________________

PICKUP TIME ___________________��� DROP OFF TIME _____________________________

CONTACT INFORMATION

NAME OF COMPANY (IF APPLICABLE) ___________________________________________

FIRST AND LAST NAME _________________________�������� __________________________

HOME PHONE _____________________�������� CELL PHONE __________________________

FAX ______________________________������� OTHER _______________________________

PICKUP ADDRESS ____________________________________________________________

DESTINATION ADDRESS ______________________________________________________

STOP 1 _____________________________________________________________________

STOP 2 _____________________________________________________________________

CHARGES

# OF HOURS GUARANTEED __________

1.����� $79 (per hour, 1^st 4 hours, 4 hour min.)�� $ ________

������������������������������������� 2.����� $65 X ___ (each additional hour)�� �������� $ ________

3.����� SUBTOTAL���������������������������������������������� $ ________

4.����� 20% Gratuity��������������������������������������������� $ ________

������������������������������������� 5.����� Sales Tax on SUBTOTAL (line 3)���������� $ ________

������������������������������������� 6.����� Total Contract Price��������������������������������� $ ________

������������������������������������� 7.����� Deposit (30% of Total Contract)������������� $ ________

DEPOSITS

Deposits are NON-REFUNDABLE. Cancellations with less than 14 days written notice (certified mail to address above) will be billed the Total Contract Price.� This means you will pay for all charges on the contract.� By signing this contract and entering your credit card number in the appropriate fields you are authorizing West Brothers Limo to charge the credit card for any of the following charges: deposits, cancellation fee, damages to the vehicle, and all services rendered or lost.� We will calculate the exact amount of hours and charges when the trip is completed.� We will then deduct your deposit amount, leaving the actual balance due.

RULES AND REGULATIONS

1. No alcohol consumed by anyone under the age of 21. Violation can result in early termination, no refunds.

2. No SMOKING inside limo, $100.00 charge per incident. NO EXCEPTIONS

3. Vomit in Limo carries a $250.00 charge per incident. NO EXCEPTIONS

4. Missing and broken glasses carry a $10 charge per glass. Decanters missing or broken are $50.

5. All tolls and parking are not included and are the customers� responsibility.

6. Any unruly passenger causing a safety hazard for the driver will be immediately removed with no refund.

7. We are not responsible for any lost, broken, or stolen items.� Please remove all valuables.

8. No illegal drug use of any kind.

9. Overtime will be billed in half hour increments, with charges accruing 5 minutes past the hour/half hour.

10. Cancellations must be made by certified mail within 14 days of reservation to avoid full contract charges.

11. Customer agrees overtime will be billed at the contracted rate and agrees to any overtime charges.

12. All electronics, amenities, etc. are free.� You are only paying for the actual vehicle and transportation. Therefore, there will be no concessions made if any amenity is inoperable or unavailable.

13. All entertainment including cds, DVDs, Ipods, etc. to be provided by the client.

14. Any unlisted damage to vehicle interior, vehicle exterior, electronics, and amenities will be assessed and charged accordingly.

15. Full refunds will be given if vehicle is unavailable due to mechanical problems.

PAYMENT INFORMATON

First and Last Name on Credit Card ________________________________

Credit Card Number _____________________________________________

Exp. Date ________����������� Visa ___���� MasterCard ___�� Discover___�� Am. Express ___

Billing Address _________________________________

Line 2 ________________________________________

City _______________________ State ______ Zip Code _________

COMMENTS, REQUESTS, OR SPECIAL INSTRUCTIONS

________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please include a copy of driver license and credit card.

A valid credit card is required on all reservations.� Contracts may also be paid with cash or money order after the reservation date is completed and service has been rendered.

Contractual obligations: I understand and agree to the length and usage along with any charges and further agree to pay for any and all damages my party may cause during the rental period.� I also agree to the above Limousine rules and regulations. All damages are the sole discretion of the driver. I understand and agree to pay the entire contract price if cancellation policy is not followed.� The number of hours you agree to on the contract is the minimum number of hours the customer agrees to pay.

Customer Signature ___________________________________ Date ________

������������������ Driver License���� ����������������� ������������������� ��������Credit Card

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