EmailMe Form - Invoice Payment Form

Name

First Last

Today's Date

MM / DD / YYYY

Partybus/Mansion or Limo?

Pick up Location? *

Date of Event *

How many Hours of Rental? Time? *

Email

Photo Copy of ID REQUIRED *

Phone *

### - ### - ####

Billing Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Credit Card Type *

Credit Card Number *

Expiration Date *

Security Code *

Printed Signature *

Agreement and Disclosure:
Credit card will not Be Billed until reservation is confirmed. By Filling out this Authorization Form, You agree that you are the Card Holder Authorized to make this Payment. You agree to the Booking Terms and Agreement and understand that we are a third party Booking so we are not Held responsible for Anything upon arrival of your Event on the Partybus. The owner of the Partybus/Limo/Mansion will be your source of contact and will be Held responsible for any unforseen issues. After non refundable Deposit or payment you will be given Direct Contact to the vendors. DEPOSITS are NO REFUND - as we Hold the date from Potential Bookings-You now give us authorization to bill this card to reserve your Date. Please Note: chargebacks and declined transactions may be subject to an additional handling fee. Questions
regarding credit card payments can be sent to email

Electronic Signature *