Name:
Address:
Postcode
Telephone:
Mobile:
Journey Details:
Destination:
Date Required:
Pick Up Time:
Return Time:
Price:
Deposit:
Balance:
Your
Signature
......................
Date
..............
Operators Signature
......................
Date
............
Please Print and fill out the form and post it back to:
Mr. Brendan Hough
32 Grange Road, Soothill
Batley. WF17 6LN
Please make all cheques payable to Mr B Hough
Please ensure you have filled in a contact number so we can get back in contact with you, with booking details.
Please note All of our Pink Limos can only carry a maximum of 8 People.