Mermaid Limo Service

Name of person filling out this form:

And you are:

eMail address:

Wedding Date:

Reservation Number:

(located top right hand corner)

Groom Information			Bride Information
Name:			Name:
Cell Number:			Cell Number:
Home Number:			Home Number:
Alternative Number:			Alternative Number:
Pick Up Details			Drop Off Details
1.			1.

2.			2.

3.			3.
Church or Ceremony Details			Picture Details
Start Time:			Start Time:
Address:			Address:
Banquet or Hall Details			Late Night PickUp Details
Drop Off Time:			Late Night Required:
Address:			Pick Up Time:
			Address:
Use the space below to add any additional information, i.e. alternative picture location, extra pick up or drop offs. You must sign this form giving us "Mermaid Limo" permission to add the above details to your contract. A copy of the original contract will then be sent to you via email and or by fax, for further review and approval.
			I (full name) give Mermaid Limo permission to add the above information to my current contract.s