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.