fill out form

Instructions
Complete and print this booking form out and fax to: 54457758OR post to address shown above

You must telephone us to CONFIRM availability of the Limousine. The completion of this booking form alone does not guarantee
your booking.
Ph: 07 5445 7157 Mob: 041 22 55 668 Fax: 07 5445 7758
Booking Form
Brides Name: _______________________________ Grooms Name _______________________________

Address: _______________________________ ____ Address: ___________________________________
___________________________________ ___________________________________

Phone: _____________________________________ Phone: ____________________________________

Date Pickup: ________________________________ Date Pickup: ________________________________

Organiser's Organiser's
Name: _____________________________________ Phone: ____________________________________

Pickup Address: _________________________________________________________________________

Location OR Church Address: _______________________________________________________________

Photo Location: __________________________________________________________________________

Reception Address: _______________________________________________________________________

Preferred Route and Comments:
Sparkling Wine
Deposit $100 ( non refundable)
White
M/Card
Pink
Name on Card
Visa
Preferred Beer x 2
Card No#
Check
Exp
Spirits (extra)
Number in
Cash

Wedding
Ribbon Required
Party
Ribbon NOT Required
Signature: ________________________________

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