Car Service Agreement
You must read in entirety. By filling out information below, you are agreeing to all terms.
“World Class Service”
Avia Luxor Inc. dba
270 Doug Baker Blvd, Ste 700-315
Birmingham, Al 35242
Name:
__________________________________
Your home address: _________________________
2 Phone #’s:
_____________________________
Pick up address #1: _______________________
Drop off address #1: _________________________
Pick up time:
_______________________
Type of vehicle:
_______________________
Flight number:
_______________
Event-circle one:
Corporate
Wedding
Prom
# of passengers: _______
Rate per hour:
______ (If applicable)
Chauffeur tip:
______
(If applicable)
today’s date: ________________
pick up date: ________________
Pick up address #2: ___________
Drop off address #2:___________
Est. end time: _______________
Flight arrival time: ___________
Anniversary Other
Approx # of hours: ________
TOTAL:
_______________
Payment Method- Circle one: Cash
Visa
MC
Discover
Credit Card #: _____________________________
Exp Date: ________
If paying with cash, we must have a Credit Card on file.
V-code (3 digits on back of Visa/MC.): Mandatory ______
A 50% deposit is due at the time of reservation and the balance will be collected at the time of service. Deposits are non-refundable.
A valid credit/debit card number with expiration date and V-code must accompany your reservation.
Avia is held harmless for any action, injuries or damage caused by anyone with the party or their actions during the run. All Avia
vehicles are smoke free. No smoking is allowed. A charge of $300.00 will be charged if smoking takes place.
There is a minimum of $250.00 cleaning fee if any passenger, in any way soils the interior of the vehicle. This includes but is not
limited to spills of red wine, soft drinks, mud stains, jello shots etc. If there is any damage done to our vehicle by anyone with the
party, client agrees to be held liable for cost of repairs and will be charged to credit card on file. There is a $15.00 fee per drinking
glass that is lost, broken or stolen. We reserve the right to end the charter at any time if anyone becomes disrespectful to person or
property including being rude to driver or damaging Avia property. No refund will be given under this circumstance. If you run over
your original end time you will be charged in 30 minute increments your original rate plus the gratuity of 20%.
Thank you for your business! We look forward to serving you
again!
Client signature agreeing (Type or signature): ____________________Date: ___________
Actual Time Run Ends: _________ Over-time additional fee: $_________________
Customer agreement to end time and fee if applicable: _______________________