FOXY'S LIMOUSINE SERVICE, INC.
P.O. BOX 3377 Houma, La. 70361
(985)873-5466 or (985)856-5515
Fax#'s (985)262-1244 or (985)857-7509
Fill out and FAX all pages to one of the fax numbers above!!
(YOU MAY ALSO MAIL TO THE ABOVE ADDRESS)
Date:________________________Day:_____________________________Pick-up time:___________________
Name:_____________________________________________________________________________________
Address:___________________________________________________________________________________
City:______________________State:_____________Zip:______________Phone:________________________
Cell Phone:______________________________Email:______________________________________________
Limousine Type:_______________________# Hours:____________________________Hourly rate $_________
Pick up
Address:________________________________________________Telephone:___________________________
City:____________________________________________________Zip Code:___________________________
Additional Instructions:_________________________________________________________________________
Destination
Address:________________________________________________DropOffTime:_________________________
City:____________________________________________________Telephone:___________________________
Additional Instructions:_________________________________________________________________________
Return Address
Address:________________________________________________ReturnTime:__________________________
City:____________________________________________________Telephone:__________________________
Additional Instructions:_________________________________________________________________________
Final Destination
Address:________________________________________________DropoffTime:________________________
City:____________________________________________________Telephone:_________________________
Additional Instructions:________________________________________________________________________
HOW DID YOU HEAR ABOUT US?______________________________________________________________
FOXY'S LIMOUSINE SERVICE, INC.
P.O. Box 3377 Houma , La. 70361
(985)873-5466 or (985)856-5515
Terms of Service
ALL DEPOSITS ARE NONREFUNDABLE!
All balances due must be paid 2 weeks before date of service and payment must be CASH, MONEY ORDER, or CREDIT CARD.
Checks are accepted up to 21 days in advance of the event.
Customer assumes FULL responsibility for any damages that they (the customer & their party) inflict to the limousine.
Any legal and/or collection fees that incur due to damage or unpaid balances of any kind will be the responsibility of customer.
Of course, drugs and weapons are prohibited by law, and will result in IMMEDIATE termination of services, without any refund.
No alcohol will be consumed by under-age passengers.
Any fines will be paid by the customer.
The driver reserves the right to terminate all services, without refund, if any passengers in the party violate any of these conditions, or any other laws.
The driver also reserves the right to terminate services, without refund, if passenger(s) become unruly, or behave in a dangerous manner.
We will terminate service if ANY EMERGENCY ESCAPE HATCHES are opened by passengers without emergency reasons.
********************THEY ARE NOT SUNROOFS OR MOONROOFS!!****************
There will be a clean up charge of $200.00 (each occurance)for cleaning up of any vomit or major mess in the limo.
ABSOLUTELY NO SMOKING IN LIMOUSINES!!****ATTENTION SMOKERS****Driver will stop at designated areas agreed upon by you and him so that
you can smoke.
ALL GLASSES MUST REMAIN IN LIMOUSINES!
Foxy's Limousine Service, Inc., its employees, or contractors are not responsible for any articles left in the vehicle, at any time.
Customers are responsible for any additional charges that incur from additional time in limo due to traffic, wrecks, road hazards, etc. and
customer will be charged accordingly!
There are no refunds for unused time.
In the event a cancellation is necessary, ALL cancellations must be sent CERTIFIED MAIL, and at least 30 days prior to the event explaining
reason for cancellation. FULL payment is due for ALL cancellations with less than 30 days notice. Customer also agrees to pay any charges
associated with collections, including legal fees and court costs.
We DO NOT supply alcohol for our customers.
LIMOUSINE COST_______________________________________
AFTER RECEPTION_____________________________________
FUEL SURCHARGE_____________________________________
GRATUITY_____________________________________________
SPECIAL CHARGES_____________________________________
SUBTOTAL_____________________________________________
DEPOSIT_______________________________________________
BALANCE DUE__________________________________________
Credit Cards are accepted for deposits, and for balances due.
FOXY'S LIMOUSINE SERVICE, INC.
P.O. Box 3377 Houma, La. 70361
(985)873-5466 or (985)856-5515
Fax#'s (985)262-1244 or (985)857-7509
I authorize and give permission to Foxy's Limousine Service, Inc. to charge my credit card for the balance due in the event of
a cancellation with less than 30 days notice and for any damages to the limousine caused by me or any member of my party.
I authorize and give permission to Foxy's Limousine Service, Inc. to charge my credit card any deposits, balances, and any
additional time if more hours are used than originally designated for the limousine service.
If customer changes any information on contract that was originally used to determine limousine costs/fees it may result in
additional charges. Customer agrees to pay charges due to Foxy's Limousine Service, Inc. as a result of these conditions.
Any additional charges for more time being used than originally charged are to be paid at time of service by either CASH or
CREDIT CARD ONLY! If additional payment for additional charges are not paid on the spot, then driver reserves the right
to terminate services on the spot!
CARDHOLDERS NAME:_____________________________________AMOUNT OF DEPOSIT:___________________________
CARD NUMBER:____________________________________________EXP. DATE:__________________CVV2:______________
BILLING ADDRESS FOR CARD:______________________________________________________________________________
CITY:_________________________STATE:_______________________________ZIP:__________________________________
PHONE NUMBER:_________________________________________________________________________________________
The CVV2 value is a 3-digit number printed at the end of the credit card number on the signature panel on the back of the
credit card. Entering the CVV2 value helps protect against fraud.
CARDHOLDER and/or RESPONSIBLE PARTY SIGNATURE:________________________________________________________
DATE SIGNED:____________________________________________________________________________________________
FOXY'S LIMOUSINE SERVICE, INC:___________________________________________________________________________
( CONTRACT NOT BINDING UNTIL SIGNED BY FOXY'S LIMOUSINE SERVICE, INC.)
________________________________________________________________________________________________________
TOTAL CONTRACT PRICE $_____________________________________________________________
DEPOSIT AMOUNT (50% OF TOTAL CONTRACT PRICE) $___________________________________
(ALL DEPOSITS ARE NON-REFUNDABLE!)
BALANCE DUE 2 WEEKS PRIOR TO CONTRACT DATE $____________________________________
(IT IS THE RESPONSIBILITY OF THE CUSTOMER TO MAKE SURE THAT ALL BALANCES ARE PAID IN FULL
2 WEEKS PRIOR TO THE EVENT)