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

Pick up data for walk-out NOT from downtown carriage stand

Please print, fill out and fax in this sheet

Please provide:

Name:_________________________

Street Address:_______________________

City/State/Zip:___________________________

 

Phone #:____________________

Date:
Day:
Start time:

# of people involved ____

Pick up required ___yes ___no

Drop off required ___yes ___no

 

If pick up or drop off required:

Where:

 

 

What time:

 

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

 

Extras: ___Champagne ___Roses___Decorations on Horse___Decorations on Carriage___Other

Please explain other:

 

 

Method of payment: ___Cash ___Check ___Credit Card

Visa/MC:____________________________ Exp:________

 

Specific street names plus

 

A) East-West Numerical

B) North-South Numerical

C) Location address

D) Major cross street

E) Cross street East-West or North-South designation