Glamour Limousines Funeral Booking Form

Web: www.glamourlimousines.com.au Fax: 08 9397 2652 Email:

Clients Full Name:______

Funeral Date:______Day Of Week:______

Postal Address:______

Contact Number:______Client Name:______

Email:______For the Late:______

Pickup Address:______Pickup Time:______

Two Tone (Silver/Black) 10 Seater 300c Chrysler Stretch Limousine Brilliant Silver 10 Seater 300c Chrysler Stretch Limousine

Cemetery Centre Name:______Arrival Time:______

Cemetery Address:______Phone Number:______

Destination Name:______Departure Time:______

Destination Address:______Phone Number:______

Web: www.glamourlimousines.com.au Fax: 08 9397 2652 Email:

1.) Glamour Limousines requires a $300 NON-REFUNDABLE deposit to secure your booking.

2.) Outstanding balances must be paid in full 30 days prior to booking date, with cash, cheque, direct deposit or credit card 2% charge on cc apply’s.

3.) Should the appointment be over time as stated on the booking form an "overtime fee" of $100 per 15 minutes will be charged.

4.) The extent of the overtime will be at the driver’s discretion to ensure that it does not conflict with any other bookings.

5.) Should bookings be cancelled with less then 60 days notice, the client will remain liable for the total costs.

6.) In the event that Glamour Limousines is unable to collect the required payment for any reason whatsoever, Collection efforts for any remaining debt to Glamour Limousines will commence. All additional costs of collection of outstanding monies will also be

Liability of the client.

7.) Glamour Limousines do not provide alcohol in our service. Persons under the age of 18 are not permitted alcohol in the vehicle,

Should this be ignored the driver has the right to terminate the agreement and a refund will not be offered under any circumstances.

You are permitted to bring your own alcohol onboard the limousine, however we do not allow red wine.

8.) The consumption of any food is NOT PERMITTED in the Limousine.

9.) "NO SMOKING" policy apply’s in our vehicles, should this be ignored the driver has the right to terminate the agreement and a refund will not be offered under any circumstances.

10.) Should there be any damages or breakages made by any patrons in the vehicle i.e.: fabric or leather damage, bar damage, spillage, audio equipment or sickness, the hiring customer will be liable and charged accordingly, A $400 cleaning fee for sickness will apply. Broken glasses are charged at $5 per glass.

11.) When completing this booking form only the listed addresses can be used, any further drop off or pick up addresses added after may be added at $50.00 per drop off or pick up as Super Stretch Limousines are not to be used as taxi’s

12.) The client must understand there is a maximum of 10 PASSENGERS only allowed in the vehicle at all times, and therefore no exceptions will be made.

13.) Passengers who are intoxicated and/or behave in an unacceptable manner to the driver or any other passengers, the driver is authorised to terminate

The travel and a refund will not be offered under any circumstances.

14.) Stretched Limousines are limited access vehicles and our drivers reserve the right to deny access to a venue that may put our vehicle or driver at risk.

15.) We take no responsibility for items lost, damaged or stolen in our vehicles.

16.) Children under the age of 4 are NOT PERMITTED to travel in the Limousine due to Transport Authority Regulations.

17.) In the event of any unforseen circumstances, be it a mechanical breakdown or any other event, either before or during the booking,

Glamour Limousines will provide a substitute vehicle in case of an emergency.

I have Read, Understood and Accept the Terms and Conditions.

I Authorise Glamour Limousines to debit my Credit Card. *Please note there is a 2% surcharge on all Credit Card Payments*

Bankcard Visa MasterCard

Card Number: Expiry: / Amount: $

Card Holder’s Name:______

3 Digit Security Code on the back of Card:

Signature:______Date:______