Avon Connecticut Limousine

QUICK RESERVATIONS
Reservations must be made at least 2 hours in advance. Otherwise, please call 203-347-6167

Pick-Up Date*	Pick-Up Time*	Passenger (s)	Luggage	Service Type*

Pick-up Location / Drop off Location

Street Address *	Location Name (Home-Office) *	City/Town *

State/Province/Territory *	Zip/Postal Code *	Phone Number

Special Instruction

Airport *	Airline *	Flight #

Arriving From/Departing To	ETA/ETD (hh:mm) AM/PM

Special Instruction

Please fill out your personal Information

First Name: *	Last Name: *	Telephone: *	Email Address: *

Other Important Information

Fare:	Preferred Vehicle Type:	Additional Passengers:	Extra Stops:

(Additional Stops Will Incur Extra Charges)
Notes / Comments / Preferences:

METHOD OF PAYMENT

Card Type*	Credit Card#*	Exp. Date*	Sec. Code*

Billing Address*	City*	State*	Zip/Postal Code*


Reservation Agreement
1. All deposits are NON refundable. 2. 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 during the duration of the rental by them or any members of their party. A fee of $75.00 for each carpet or seat burn. Sanitation fee is $150.00. Alcohol Consumption and drug use is prohibited by law. Any fines will be paid for by the customer. The driver has the right to terminate run without refund. Smoking is prohibited in all Avery CT Limo. 4. Overtime pay will apply after the first 15 minutes of prearranged time described on the run sheet. 5. Not responsible for delays or the termination in winter caused by unsafe road conditions (ie. not salted, accidents, etc.). 6. Not responsible for articles left in the limousine. 7. Balances to be paid to the driver on the run date before the beginning of the run. 8. Vehicles cannot be loaded beyond seating capacity.

By submitting this form you agree that: 1- You are the credit card holder 2- You are requesting the service listed above. 3- You are authorizing Avery CT Limo to charge the credit card listed above for the requested services. Yes I agree

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Avery Connecticut Limousine Stamford: (203) 545-2179 | (203) 813-0426 Branford: (203) 347-6167
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