Bride’s First Name *

            Bride’s Last Name *   

Bride’s Home Phone *

  (999) 999-9999

Bride’s Cell Phone *      (999) 999-999

Bride’s Email *

Groom’s First name *

Groom’s Last Name * 

Groom’s Home Phone *

   (999) 999-9999

Groom’s Cell Phone *     (999) 999-999

Groom’s Email *

Wedding Date *

Wedding Time *        am     pm

Ceremony location *

Ceremony Address *

Ceremony City *

State:   FL           Zip Code *  

Wedding Package *

Standard - 3 hours Deluxe - 3 hours Premiere - 3 hours

Additional Hours:   1 hour 2 Hours 3 hours None

Limo - Vehicle 1 *

Type of Vehicle

Escalade ESV 1-7 passengers Town Car 1-4 passengers Stretch Limo 1-10 passengers Excursion 4-14 passengers Excursion 4-18 passengers Excursion 20 passengers Hummer H2 up to 16 passengers Hummer H2 up to 18 passengers Hummer VIP up to 20 passengers

Pick Up Time *       am     pm

Pick Up Address *

Pick Up City *

State: FL     Pick Up Zip Code * 

Limo - Vehicle 2

Escalade ESV 1-7 passengers Town Car 1-4 passengers Stretch Limo 1-10 passengers Excursion 4-14 passengers Excursion 4-18 passengers Excursion 20 passengers Hummer H2 up to 16 passengers Hummer H2 up to 18 passengers Hummer VIP up to 20 passengers

Pick Up Time           am     pm

Pick Up Address 2

Pick Up City 2

State: FL     Pick Up Zip Code 2 

Payment Detail *

  Cash            Credit Card           Credit Card on File

If paying cash, must
submit credit card to hold reservation

Credit card type           Mastercard Visa American Express Discover Card

Expiration Date    (mm/yyyy)

3 or 4 Digit Security Code 

Credit Card Number              Click to encrypt your Credit Card #

Name on Card *

Billing Address *

Billing city *

State *  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Islands      Zip Code *