Houston 24 Hr Airport Limo Service Contract CUSTOMER IS RESPONSIBLE FOR CALLING AND VERIFING THAT WE RECEIVED YOUR CONTRACT Date of Event______________________________ Number of Passengers__________________________ Type of Event_____________________________________________________________________________ Pickup Time_______________________________ End Time____________________________________ Full Name (first name, last name) _____________________________________________________________ Home Phone___________________________________ Mobile___________________________________ Work Phone_________________________________ Fax________________________________________ Pickup Address____________________________________________________________________________ City______________________________________________ Zip___________________________________ Destination Address_________________________________________________________________________ City______________________________________________ Zip___________________________________ Email Address_____________________________________________________________________________ Credit Card Must be presented to the driver the day of the event if not paying with cash. Fill in page 2 for CC info. Please Circle One: Debit or Credit or Cash Type of Limo_______________________________________________________________________________ We do not guarantee color of limousine, we take requests only. Number of Hours Guaranteed _____________________________ Rate Per hour$_______________________

****** THERE IS NO GUARANTEE THAT OVERTIME HOURS WILL BE AVAILABLE. PLEASE BE SURE THAT THE NUMBER OF HOURS YOU ARE WRITING ON THE CONTRACT WILL BE SUFFICIENT TIME FOR YOUR EVENT. ****** 25% includes gratuity and gas. There are no other FEES ____________________________________________ Must be completed by the customer. Total Contract Price$_________________________________________________________________________

Must be completed by the customer Multiply number of hours x rate per hour and add 25% for gratuity / fuel charge. Credit Card must be presented to the driver the day of the event if not paying with cash. Deposit Amount (25% of total contract price) $_____________________________________________________ Must be completed by the customer. DEPOSITS are NON REFUNDABLE

Cancellations must be made in writing and eFaxed to us within 14 days of your scheduled event to avoid being billed the full contract amount.This means you will pay for all charges on the contract. By signing this contract, and entering your credit card information in the appropriate fields you are authorizing Houston Town Car & Limousine to charge the credit card for any of the following charges; deposit, cancellation fee, damages to the vehicle, and all services rendered. 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.

Limousine Rules and Regulations: 1. No alcohol consumed by anyone less than 21 years of age. Violation may result in early termination, no refunds. 2. No SMOKING inside limousine, $100.00 charge per incident. No exceptions. 3. Cleanup fee for vomit in the limousine will be assessed. 4. All tolls and parking are not included in rental rate. 5. $10.00 per glass for broken or missing drinking glasses. 6. $100.00 clean up fee for excessive matter in Limousine. 7. All unruly persons will be dropped of at the sole discretion of the driver & no refunds. 8. We will not be responsible for any lost, damaged, or stolen property. 9. No illegal drug use of any kind, firearms, nudity, sex. Violation may result in early termination, no refund. 10. Overtime will be billed in half hour increments. 11. Cancellations must be made in writing and eFaxed to us within 14 days of your scheduled event to avoid being billed the full contract amount. 12. Customer agrees that overtime will be billed at the contracted rate and agrees to pay any overtime charges. 13. Customer agrees that replacement Limousine may be substituted in the event of any major mechanical issues, limo involved in accident, etc. 14. All entertainment including cds, dvds, vhs tapes is to be provided by the customer.

We do not guarantee color of limousine, we take requests only.

PLEASE INCLUDE COPY OF DRIVERS LICENSE AND CREDIT CARD: Contract 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 periods. 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 hours customer agrees to pay.

Name on Credit Card: (Print)_______________________________________________________________________________ Credit Card Number______________________________________________________ CVC___________________________ Card Validation Code: Last 3 numbers on back of card, or 4 number code on front of AMEX Credit Card Type (Circle One): MASTERCARD VISA DISCOVER AMEX Other: _________________________ Expiration Date______________________________________________________________ Credit Card Billing Address_____________________________________________________ ZIP CODE __________________ Customer Signature___________________________________________________________ DATE______________________ Telephone________________________________________________ EMAIL________________________________________ Credit Card Must be presented to the driver the day of the event if not paying with cash

PLEASE INCLUDE COPY OF DRIVERS LICENSE AND CREDIT CARD to secure your RESERVATION! ARE YOU UNCOMFORTABLE SENDING CREDIT CARD INFORMATION OVER THE INTERNET? ...ALL SERVICES ON EITHER FRIDAY OR SATURDAY OR DURING PROM SEASON REQUIRE A 50% DEPOSIT. REGISTERED PASSENGERS:Transport is limited to REGISTERED PASSENGERS. Each person that will be in limo must be on this list.Complete REGISTERED PASSENGERS listing below:LIST OF REGISTERED PASSENGERS:(Print this page multiple time as required)PASSENGER PARENT/GUARDIAN PHONE NUMBER SIGNATURE_______________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ ________________________________________________ ________________________________ ________________________ _________________________

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