Phone: (312) 664-6014 Fax: (708) 771-5344

Regular Downtown Ride or Walkout From Carriage Stand

Please Print and Fax Form

 

Customer requirements:

Please provide:

Name:_________________________

Street Address:_______________________

City/State/Zip:___________________________

Phone #:____________________

 

Regular downtown ride or walkout from carriage stand:

 

Date:
Day:
Start time:

# of people involved ____

Pick up required ___yes ___no

Drop off required ___yes ___no

If pick up or drop off required away from the stand:

Where:

 

What time:

Length of actual ride: ___30 mins ___45mins ___60mins (check off appropriate time needed)

Extras: ___Champagne ___Roses ___Other:

Please explain Other:

 

 

Method of payment: ___Cash ___Check ___Credit Card

Visa/MC:________________________ Exp:______

 

Anything we may have missed? Please tell us!