A
Advantage Limousine Service
(303) 421-4300
Fax (303) 424-3444
MAIL OR FAX:
PLEASE PRINT THIS FORM TO SEND VIA THE POSTMASTER
Send your check or credit card information
with completed form to:
A Advantage Limousine
3101 E 52nd Ave.
Suite E
Denver Colorado
80216
Name
______________________ Pick
up Name ______________________
Address
______________________
Address ______________________
City
state_____________zip______
City state_____________zip_______
email
address__________________
email address___________________
Date of the
run_________________ start_________ finish__________
Contact phone number ________________________
Non- refundable deposit
required
$0 to $200.00 = $50.00
$201.00 to $400.00 =
$75.00
$401.00 to $600.00 =
$100.00
$601.00 to $1000.00 =
$150.00
$1001.00 to $1500.00 =
$300.00
$1501.00 to $2500.00 =
$400.00
$2501.00 to $4000.00 =
$500.00
Total enclosed
__________
Credit card type _____
#___________________________ exp-date_________ code on back of card (last 3
Digits)_______
Amount to be charged $___________
Sign
_______________________________________________
please include any other special
instructions___________________________________________________
_________________________________________________________________________________________
Payment by: [ ] Check
[ ] Money order [ ] Credit Card
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Thank you
for booking your limo with A Advantage We appreciate your
business and look forward to giving you top-quality service.