| 17 hr. All-Day Wedding $1200 Per Limousine Plus 20% gratuity # of Limousine: | |
| Total Cost With Gratuity: | |
| Date of Wedding: |
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| Payment Method: | |
| Name on Card: | |
| Credit card Number: | |
| Exp Date: MM/YY | |
3 Number Pin on back of card 4 Number pin if on front: | |
| | I Understand the $200 Deposit will be billed and is Non Refundable |
| | I understand the Cancellation Policy |
| Signature: | |
| Address Street : | |
| City: | |
| State: | |
| Zip Code: | (5 digits) |
| Home Phone: | |
| Cel Phone: | |
| E-mail address: | |
| Brides Info if differnt than above Name: | |
| Address Street : | |
| City: | |
| State: | |
| Zip Code: | |
| Home Phone: | |
| Cel Phone: | |