Excaliber Limousine

  EVENT DATE ____________NAME _______________________

  TIME ______________ TO _____________ CONTINUOUS (   ) SPLIT (   )

  PICKUP ADDRESS __________________________________________

  CHURCH (FOR WEDDINGS) ___________________________________

  MAILING ADDRESS __________________________________________

  PHONE____________________

  DEPOSIT AMOUNT ______________________

  Please print page, fill in, sign,and date. Mail entire page to:

  Excaliber Limo
  P.O. Box 9991
  Fargo, ND 58106
 
  ADDITIONAL INFORMATION ________________________________
 
  _________________________________________________________

  _________________________________________________________
 
  Rates are for group travel, individual rides are subject to an additional surcharge.
  Must be properly seated.  Excaliber Limo is not responsible for injuries caused by'
  passenger negligence.  Incapacitated passengers must find ride home as we
  cannot be responsible.  For security reasons, original passengers only!
  Signer is responsible for any damages caused by any passenger.  All passengers
  must be 21 to drink, signer is responsible.  Bad or inappropriate behavior (to be
  determined by driver) may result in ending ride for individual(s) or the group.
  No refund!  (This includes any locations we visit).

  Food is not allowed without prior permission.
 
  Emergency exit is to remain closed.

  Deposit is non-refundable, check or  money order. 
  Balance due is CASH unless pre-approved.


  ___________________________________      ________________________
  Signature                                                                     Date

  *****************************************************************************************
  BELOW TO BE FILLED OUT BY EXCALIBER LIMO:

  PRICE                         $___________
 
  DEPOSIT                    $___________
 
  DUE OTHER                $___________
 
  GLASSWARE              $___________  (Included for weddings)
 
  DISCOUNT/REFUNDS  $___________
 
  DAMAGE/
  CLEANING                   $___________

  TOTAL                         $___________

  701-730-6023