Bultman Limousine
2296 Manitowoc Road
Green Bay, WI  54311

Web site: greenbaylimo.com
E-mail: info@gblimo.com
Toll Free: 888.473.1919
Phone: 920.321.5466


Company Name:

_______________________________

Date of Event:

________________________

Customer Name:

_______________________________

Occasion:

________________________

Street Address:

_______________________________

Surprise:

  YES

City:

_______________________________

Cell Phone:

________________________

State:

_______________________________

Home Phone:

________________________

Zip Code:

_______________________________

Work Phone:

________________________

 

 

Ext # :

________________
Guest(s) Name: _______________________________                    Fax # :________________________

Start Location:

______________________________________________________________________
  ______________________________________________________________________
  ______________________________________________________________________
End Location: ______________________________________________________________________

Bultman Limousine may void contract if rates, gratuity, travel fee and/or balance due are modified by the customer.


Type of Vehicle


Start Time


End Time

____ Hr Rate

Extra Hr Rate
      
Total

_____________________

___________

__________ ___________ ___________

___________


Number of People:


______ ( ______ Maximum Number of Passengers)

Gratuity: 15 or 20% $:

___________


Credit Card #:


_________________________________ (_____)

Travel Fee:____% $:

___________


Credit Card Type:

                                                                                        Security Code
 AMEX   MC   VISA     Exp. Date: ____/____

_____________ $:

___________


Name on Card:


_______________________________________

Grand Total $:

___________

Cardholder  Address:

 


_______________________________________
_______________________________________
_______________________________________

Deposit $:

Balance Due $:

___________

___________


 I, _______________________________________ (print name), have read Bultman Limousine Rental Agreement and acknowledge that I am 18 years of age or older.  I agree to comply and abide by the Rental Agreement (seen on page 2 of contract) and that the above information is correct.  In addition, I understand that I am responsible to pay for this contract in full 48 hours before the day of service, regardless of cancellation or changes.

Please Mail or Fax Signed contract to Bultman Limousine. If signed contract is not returned by____________________________,  Bultman Limousine may void Contract and remove reservation.


   Signature:___________________________________   Date: _____________________


Time Leave Shop: __________     Mileage Start: _________   Time of Pick-Up: __________
Time Back at Shop: _________     Mileage Finish: ________   Time of Drop-Off: _________

Driver Name: ___________
Vehicle: ___________
Mail Receipt: ___________

 

Bultman Limousine
2296 Manitowoc Road
Green Bay, WI  54311

Web site: greenbaylimo.com
E-mail: info@gblimo.com
Toll Free: 888.473.1919
Phone: 920.321.5466


BULTMAN LIMOUSINE RENTAL AGREEMENT


 
  1. Bultman Limousine agrees to provide a limousine and chauffeur at the time, date and location specified on contract (additional hours upon availability).

  2. Number of passengers allowed in the vehicle shall be no more than specified number in contract or limited to the vehicle passenger capacity it is designed to carry.

  3. Bultman Limousine reserves the right to substitute a vehicle of equal or greater value in the event of mechanical difficulties or scheduling reasons.

  4. I understand that Bultman Limousine and/or employees of Bultman Limousine may not be held responsible for items left unattended in vehicles.

  5. I understand that the sale or use of ILLEGAL DRUGS, smoking in the vehicles or the use of intoxicants by minors is strictly forbidden in vehicles provided by Bultman Limousine. There will be no standing out of moon-roofs or hanging out of windows. Bultman Limousine reserves the right to immediately terminate service without any refund to any party or person(s) who violates this rule.

  6. Bultman Limousine is not responsible for delays caused by weather, traffic conditions, mechanical problems, airlines and/or airport problems, automobile accidents caused by others or acts of God.

  7. Customer may not attach or affix anything to the interior or exterior of the vehicle(s).

  8. Customer accepts full responsibility for vehicle damage or special cleaning, and any loss of income due to negligence or carelessness caused by any member of my group, or myself (examples: vehicle damages caused from smoking, burns, vomiting, scratches, broken glassware, stains, wrestling in vehicles, kicking windows/mirrors, and etc...) and authorizes company to charge for the expenses regardless and in addition to any prior understandings and agreements. $5.00 Fee per broken and/or missing glassware.

  9. NO FOOD IN VEHICLE(S). $50.00 CLEANING FEE WILL BE ADDED FOR VIOLATIONS.

  10. DEPOSITS COLLECTED ARE NON-REFUNDABLE.

  11. BULTMAN LIMOUSINE MAY VOID CONTRACT AND REMOVE RESERVATION IF RATES, GRATUITY AND/OR BALANCE DUE ARE MODIFIED BY THE CUSTOMER.

  12. CHAUFFEUR GRATUITY 15% MINIMUM ADDED OR 20% FOR SPECIALS, HOLIDAYS AND HOURLY RATES THAT HAVE BEEN REDUCED TO THE MINIMAL CHARGE.

  13. ANY BREACH OF THIS CONTRACT WILL RESULT IN TERMINATION OF SERVICE, REQUIRING BALANCE DUE IN FULL WITH NO REFUND.


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Bultman Limousine  |  2296 Manitowoc Road  |  Green Bay, Wisconsin  54311  |  Toll Free 888.473.1919