ON LINE WEDDING CONTRACT FORM

We will mail you a paper copy of this contract, and you MUST return a signed copy.

Make sure you click on Submit at the end, or it will NOT get to us.

You will also get a plain text auto confirmation at the end of this session if everything went through.

Travel Time charges will be added to out of the Chicagoland Metropolitan area

     This may seem like a lot to fill out, but we want it to be a perfect day for you.

◊  Wedding Date: Month 1 2 3 4 5 6 7 8 9 10 11 12    Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day of week Friday Saturday Sunday Monday Tuesday Wednesday Thursday    Year 2008 2009 2010 2011 2012 2013                         Today's Date: Month 1 2 3 4 5 6 7 8 9 10 11 12 Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year 2008 2009 2010 2011 2012 2013   

I understand that filling out this online contract commits me to use A Platinum Chauffeur, Inc.  for my wedding limousine Choose One Yes No Quote Only

Placed By: Choose One Placed By Bride Groom Best Man Mother of Bride Mother of Groom Father of Bride Father of Groom Other     Others, please specify:

Brides Name:

Brides Address:       Brides Unit # 

Brides City:    Brides State:         Brides Zip Code:

Brides Home Phone:

Brides e-Mail Address:

Brides Work Phone:

Brides Cellular Phone:

Grooms Name:

Grooms Address:     Grooms Unit #

Grooms City:   Grooms State:       Grooms Zip Code:

Grooms Home Phone:

Grooms e-Mail Address:

Grooms Work Phone:

Grooms Cellular Phone:

Mail Contract to; Choose One Bride Groom Other, Specify Below

Other, please specify:

1st Limo Pick Up Time: Brides Limo

1st Limo Pick Up Location:

2nd Limo Pick Up Time: Grooms Limo

2nd Limo Pick Up Location:

3rd Limo Pick Up Time: please only fill out if 3 or more Limo's are needed

3rd Limo Pick Up Location: 

Time That Your Wedding Ceremony Starts:

What time do you want the Bride at the Ceremony:

What time do you want the Groom at the Ceremony (only if we are transporting him):

Wedding Location Name and Address:

Picture Locations and When:

Any Extra Stops Needed:

Reception Time:

Reception Location, Name and Address:

What time will you need your limo until;

Special Instructions:

Are you requesting an Alcohol-Free Limousine; Choose One No Yes

Decoration Colors:   complimentary decorations, we will try and match them as close as possible, they are never exact.

Limo Color: White Black    Limo Size: 10 Passenger Lincoln 12 Passenger SUV 14 Passenger SUV

How did you hear out about us? Choose One Better Business Bureau Bolingbrook Trustee, or Mgt. Davids Bridal Dream Weavers Friend Garden Wedding Chapel Limo Pros Limo Races Mayor Claar Newspaper Ad Web Search Engine Wedding Magazine Yellow Pages Other, please specify so we may thank them

Other, Please specify;  

Price we quoted to you on the phone: Choose One $95 per hr $99 per hr $100 per hr $105 per hr $110 per hr $115 per hr $120 per hr $150 per hour SUV $175 per hour SUV $200 per Hour SUV ( add 20% gratuity )

Please specify rate given if not shown:

How many hours will you need for each Limo: Choose Hours Needed 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 (3 hour minimum)

Please Rate Us so we know how we are doing: Choose One 10 I Loved Our Experience 9 Awesome 8 Great 7 6 OK 1 to 5 Needs Improvements

Will you need a limo for the end of reception, Airport, Bachelorette or Bachelor Parties? ONLY 1-1/2 hour minimum after reception

What method of payment will you be using for your wedding day? Choose One Cash On My Wedding Day Credit Card On File Prior To Wedding Date Check Prior To Wedding Day

I understand that I must return a signed copy of the contract mailed to me, and this online contract guarantees my limo

and I will fulfill our end of this contractual agreement with A Platinum Chauffeur, Inc. Choose Yes NO

Now click  submit  below to complete this contract

After clicking submit, you will see a plain text confirmation of your data entries made.

This means that your contract made it to us.