ALL STAR PALM BEACH LIMOUSINE

SERVICE CONFIRMATION/ACCEPTANCE

Customer Name As It Appears on CC (VISA/MC only): Mailing Address of CC Statement:

__________________________________________ _____________________________________________

Email: _____________________________________ _____________________________________________

Phone: ____________________________________ _____________________________________________

CC #:______________________________________ Exp./ Last (3) Digits on Back of Card: _______________

Hourly Rate: Tip: Hrs: Total: Deposit/Preapproval:

$_________ $_______ _____ $_________ _____________________________________________

Address Pickup: Vehicle:

__________________________________________ _____________________________________________

__________________________________________ Start Time: ____________________________________

Signature: Printed Name/Date:

__________________________________________ _____________________________________________

IMPORTANT ! If paying by CC, this document must be fully executed and either emailed to astarlimo@gmail.com, faxed to (561)784-9560, or given to the driver at the time of pickup with a clear copy of the front and back of CC and a copy of CC holder’s ID, as well as the CC imprint and signature. Failure to do so will result in a delay in departure and the time will be billed to the customer. If paying by cash, this document with copies of ID and CC are still required and at the end of the fare, no imprint is required and customer should sign receipt for the hours and the total amount paid.

All deposits are non-refundable. Failure to contact our office in the event that you do not see your driver right away will result in the client being charged the full amount. There will be no refund issued if you fail to contact our office. Company is not liable in the event of mechanical breakdown while on charter and will only be responsible for making up lost time at a mutually agreed date. The client assumes full financial liability for any damage to the limousine caused by client or any members of their party during the duration of the rental. A fee of $100.00 for will be imposed for each carpet or seat burn, food litter, and/or stains. TAKE A COUPLE OF MINUTES AT THE END OF THE FARE TO INSPECT THE INSIDE WITH THE DRIVER. Sanitation fee is $250.00. Damage to CD or DVD player is $250.00. Damage to TV(s) is $500.00 Alcohol Consumption by minors and/or drug use by anyone is strictly prohibited by law. The driver has the right to terminate run without refund (if there is blatant indiscretion on the part of the client(s). Smoking is not permitted in all of our vehicles. Overtime charges apply. Hourly charters are billed for the full amount of the initial reservation, even if you relieve the Chauffer from service earlier than initially booked. Hourly charters that exceed the initial reservation will be billed in 15-minute increments at the Vehicle Hourly Rate. Not responsible for delays or trip termination due to bad weather or road conditions (i.e.: severe weather, accidents, acts of nature, etc...) Not responsible for articles left in limousine .We recommend that all personal belongings and valuables be removed from the vehicle when left unattended. All Star Palm Beach Limousine Service and its employees will not be responsible for any lost, stolen or damaged articles. If there is a balance, it is to be paid to the driver on the run date before the beginning of the run.

Contact Information: Ph: (561) 722-1858 Fax: (561) 784-9560 Email: astarlimo@gmail.com

ADDITIONAL NOTES / INSTRUCTIONS / SERVICES: