CONTACT PERSON:
First Name
*
Last Name
*
Email
*
Phone
*
BILLING ADDRESS:
Street
City
Zip Code
EVENT DETAILS:
Event Type
*
Event Date
*
Number of Hours
*
Pick-Up Time
WEDDING DETAILS: (if applicable)
Ceremony Venue
Reception Venue
BRIDE INFORMATION:
First Name
Last Name
Email
Phone, Home
Phone, Cell
GROOM INFORMATION:
First Name
Last Name
Email
Phone, Home
Phone, Cell
PICK-UP & DESTINATION ADDRESSES:
PICK-UP LOCATION
Street
City
Zip Code
DESTINATION #1
Street
City
Zip Code
DESTINATION #2
Street
City
Zip Code
DESTINATION #3
Street
City
Zip Code
RENTAL DETAILS:
Vehicle Choice #1
*
1957 Bentley S1 Saloon (black/silver)
1958 Rolls Royce Silver Cloud I (gray/sable)
1963 Rolls Royce Silver Cloud III (arctic white)
1965 Bentley S3 Saloon (gray/midnight blue)
1973 Rolls Royce Corniche Convertible (magnolia/tan)
1962 Rolls Royce Silver Cloud LWB (arctic white)
1963 Rolls Royce Silver Cloud (sand/sable)
120" Lincoln Stretch Limousine (black)
1982 Silver Spur LWB
Vehicle Choice #2
1957 Bentley S1 Saloon (black/silver)
1958 Rolls Royce Silver Cloud I (gray/sable)
1963 Rolls Royce Silver Cloud III (arctic white)
1965 Bentley S3 Saloon (gray/midnight blue)
1973 Rolls Royce Corniche Convertible (magnolia/tan)
1962 Rolls Royce Silver Cloud LWB (arctic white)
1963 Rolls Royce Silver Cloud (sand/sable)
120" Lincoln Stretch Limousine (black)
1982 Silver Spur LWB
Bubbles & Berries
yes
no
(Bubbles & Berries Package includes chilled bottle of champagne or sparkling cider and hand-dipped chocolate covered fresh strawberries.)
Personalized Window Sign
yes
no
(Personalized Event signs are available for purchase, customized with name or names and the
details of the event. i.e. Just Married, Happy Birthday, Anniversary, Engagement, etc.)
Please provide any special notes you may have, or instructions for your driver
PLEASE LET US KNOW HOW YOU LEARNED ABOUT US:
Resource Type
*
Wedding Planning Website
Event Planner
In-Store Promotion
Internet Search Engine
Link from another website
Wedding Venue
Reception Venue
Magazine Article or Advertisement
Media Story
I was referred to you by a business
I was referred to you by friends and family
I am a Returning Client
Other
Resource Name