Chicago's  Premium  Limousine  Service

Prom Contract

Home Up

 

 

 

ON LINE PROM CONTRACT FORM

PLEASE CHECK AVAILABILITY BEFORE PROCEEDING

By calling (630) 679-1000

We will mail you a paper copy of this contract,

and you MUST return a signed copy,

along with a 20% deposit per limousine.

 

 

Today's Date:                            Prom Date:      

I understand that filling out this contract commits me to use Platinum Chauffeur for my Prom Night  

Placed By, MUST BE PARENT:     Others, please specify:

Parents Name:

Parents Address:       Parents Unit # 

Parents City:     State:      Zip Code:

Parents Home Phone       Parents Cellular      Parents Work

I the parent agrees to keep their cellphone on if I leave my home as a means of emergency contact.

List all children's names that you are allowing to ride in the limousine, in the area provided below.

                  Names Listed                                 Parents Phone #

1)        

2)        

3)        

4)        

5)        

6)        

7)        

8)        

9)        

10)       

Mail Contract to;

1st Limo Pick Up Time:

1st Limo Pick Up Location:

Time of Your Prom:

Prom Location and address:

Picture Location and When:

List Any Extra Stops Needed:

After Prom pickup Time:

After Prom Destination and address:

What time will you need your limo until;

Special Instructions:

 Limo Color:   Limo Size:

How did you hear out about us?

Other, Please specify;  

Price we quoted to you on the phone:         Flat Rate Quoted:

Rate this on line experience:

I understand that I must return a signed copy of the contract mailed to me, and this online contract guarantees my prom limo

and I will fulfill our end of this contractual agreement with A Platinum Chauffeur, Inc.

Now click submit below to complete this contract

 

 

Credit Card is used for guaranteed payment only

Cash, or certified check,  are the only forms of payment on your Prom Night.

 

  Thank you for choosing A Platinum Chauffeur, Inc.

A paper contract will be mailed to you to sign and return with a deposit.

Contact us if you did not receive confirmation at 877.766.5466


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