• What is your special occasion?

  Wedding Airport Transfer Anniversary Night on the Town Prom Homecoming Birthday Retirement Baby's First Ride Just Because!

  
  

• Enter the date of your Special Occasion:

  -- mm/dd/yy
  
          Total hours needed from first pick-up  to last drop-off:

          -- number of hours

  
  CONTACT INFORMATION
  

• Please provide the following contact information:

  Name
  Title
  Organization
  Work Phone
  Home Phone
  FAX
  E-mail

PICK-UP INFORMATION

• Please provide the following Pick-Up information:

  Street Address
  City
  State/Province
  Zip/Postal Code
  Work Phone
  Home Phone
  FAX
  E-mail

   

• Enter the time of Pick-Up:

  -- hh:mm: am/pm

DROP-OFF INFORMATION

• Please provide the following Drop-Off information:

  Street Address
  City
  State/Province
  Zip/Postal Code

• Special instructions or requests:

  
  

• Preferred Transportation:

  Chrysler 300 Limousine White Super Stretch Lincoln Navigator White Super Stretch Limousine 12 Passenger Black Super Stretch Limousine 12 Passenger "Tuxedo" white/black Super Stretch Limousine Black Corporate Town Car Luxury Coach Horse and Carriage
  

• Planned method of payment:

  Cash
  Personal check
  Business check
  Master Card
  VISA
  American Express
  

• How did you hear about GOLDSTAR?

   

  TERMS AND CONDITIONS

  Please remember - quality service is customarily acknowledged by a gratuity of fifteen to twenty percent to the Chauffeur.

  $_____________  Rate agreed upon for this commitment in this contract.
                             (to be completed upon receipt of deposit and signed hard copy of this Limousine Rental Agreement)
   

  1. Personal checks for deposit must have TWO WEEKS to clear before the date of the pick-up.  Any remaining balance MUST be paid to the Chauffeur prior to leaving for the event by way of cash or pre-authorized credit card.  Absolutely no checks will be accepted at pick-up.
  2. No refund of the deposit will be made due to the cancellation of this contract.
  3. This contract is not valid until deposit is received.
  4. Smoking is prohibited inside the Limousines at all times.
  5. Under age consumption of alcoholic beverages and any form of illegal drug usage is strictly prohibited.
  6. Robert Hall GoldStar Limousines, Inc., will not be liable for the safekeeping of any items left in the Limousine.
  7. Fighting, or any other behaviors deemed inappropriate by the Chauffeur will result in the return of the Client (this includes the renter of the limousine and all occupants) to the pick-up location and no refunds will be issued.
  8. Client agrees to pay for any damages to the Limousine due to negligence (i.e.. upholstery stains, spillage, glass breakage, etc.).  If sickness occurs on or in the Limousine there will be a $250 clean up fee.
  9. The term "transfer" is defined as one pick-up and one drop-off charter.
  10. Transfers will be charged after a wait time of thirty minutes at one-half the hourly rate for each hour thereafter, as contracted for the Limousine.
  11. If the contract exceeds the drop-off time, the Client is responsible for additional monies due at the conclusion of the rental.
  12. A deposit of one hundred twenty five dollars ($125.00) along with the signed Limousine Rental Agreement must be received by Robert Hall GoldStar Limousines, Inc., in order to confirm your reservation request.
  13. A $10 temporary surcharge for fuel is included in the price at this time.
  14. By signing below, the Client agrees to all of the above Terms and Conditions.

  CELL:_____________________   HOME:______________________           EMAIL:_________________________

  CUSTOMER SIGNATURE:___________________________________          DATE:__________________________

• I understand, have read and agree to the Terms and Conditions outlined in this Limousine Rental Agreement.

  Yes No