Executive Star Inc.
Richardson TX 75080
aaacablimo@msn.com
Name________________________________
Service Date __________________________
N______________ Street __________________________________ Dr.(Ln.,Ave, …..)
City _______________________ Tx. Zip code ________________________________
Hone phone ____________________ Cell_____________________________________
Vehicle Type _______________________ Service Type ___________________________
TIME ADDRESS
#1 Stop ____________ _______________________________________________
#2 Stop ____________ _______________________________________________
#3 Stop ____________ _______________________________________________
SPECIAL INSTRUCTIONS:
_________________________________________________________________________
_________________________________________________________________________
LIABILITY AGREEMENT: This agreement is a contractual arrangement of this company for hire of Limousine/Bus/Sedan service and pertains specially to the performance by the customer.
No alcohol is allowed if under 21 years old, or service will be terminated with no refund. No smoking. There is a $200.00 fee will be apply to the customers for smoking in the vehicle.
$200.00 minimum clean-up/sick fee for in/out Limousine. $50.00 spilled drinks.
No standing out of moon roof.(it’s illegal). Any repair excess of usual use and wear of the hired vehicle, there will be a minimum charge of $200.00 for the repair. Executive Star Inc. is not responsible for lost, misplaced or stolen items left in the vehicle.
Cancellation must be made 21 days prior to service date. There will be full amount charge per vehicle for any late cancellation.
I AGREE TO ALL CHARGES WITH NO DISPUTE.
Signature __________________________ Date _______________________________
Service received and completed: Date_____________ Time:_____________________
Customer Name _________________________________________________________
Customer Signature _______________________________________________________