8272 QUETICO DRIVE

INDIANAPOLIS, IN 46268

Office               317-337-9400

Fax:  317-337-9410

Jermaine:  317-491-7861

Mario:      317-491-7854

Tyrone:    317-491-7423

RESERVATION SHEET

CONTACT INFORMATION:

CALLER:                                   PHONE #                                DATE:

RESERVATION NAME:                                 EMAIL:

CONTACT:                  PHONE #    ALT PHONE:

RESERVATION DETAIL:

RUN TYPE:DATE:VEHICLE:

P/U TIME:D/O TIME:# OF PASS:

P/U ADDRESSD/O ADDRESS

SPECIAL INSTRUCTIONS:

AIRPORT SERVICE:

DEPARTUREDATEARRIVAL DATE

AIRLINEAIRLINE

FLIGHT #DEPARTURE TIMEFLIGHT #ARRIVAL TIME

REQUESTING P/U TIMEDEPARTURE CITY

VEHICLEVEHICLE

# OF PASS# OF PASS

P/U ADDRESSD/O ADDRESS

SPECIAL INSTRUCTIONS:

TERMS & CONDITIONS: No smoking allowed in vehicle.  Person making the reservation is responsible for all charges.

Damages to vehicle will be charged equal to the replacement/repair cost plus down time.  Signature below authorizes charges including but not limited to:  Rental overages (TBA), excessive cleaning ($50), sickness ($300), broken/lost glasses ($8 ea). All unpaid charges billed to credit card.  Unless otherwise indicated, all reservations are subject to pricing guidelines listed on our website:  www.integritylimoservice.com

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