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RESERVATION BY

FAX OR EMAIL (PDF)

RESERVATION FORM

CREDIT CARD AUTH FORM

SERVICE CONTRACT

For Special pakage Reservations Please Read, Print, Fill and Sign the Service Contract, Reservation and Credit Card Forms; then Fax all to:

(800) 991-0478;

or, Email it as attachment to wilshiretrans@att.net

*** WARNING!

This Reservation has to be made at least 2 hours (for sedans) and 24 hours (for other type of cars) before your pick-up time. Or, call us at (800) 991-0478; to make a new reservation, to change, to confirm or to cancel your reservation. We will email, call or text you a confrmation number. If you don't receive a confirmation number; your reservation is invalid.

ONLINE RESERVATION
Los Angeles Limousine Service, Los Angeles Flat Rate Taxi Service. LAX Airport Taxi, Burbank Airport Taxi, Long Beach Airport Taxi.
**If we don't email/call you for your confirmation in the two hours, please call: (800) 911-0478. *** No conf.# means No reservation.

> Service Contract

If you are a new client or if you requesting a special car than your usual, we reccommend you to read this contract.

TERMS & CONDITIONS *

> Passenger's Name *

(First, last)

> Your Email Address *

This is Where we will send Your Confirmation

> Confirm Email *

> Phone Number - CELL *

(Psgr. Primary Cell#) Numbers only (no braces or dashes)

> Phone Number (Alt.)

Psgr. home/Office or Second Psgr. phone number

> Pick Up Address (Start) *

(Address, City, State, Zip)

> Drop Off Address (First) (if more than one stop)

(Address, City, State, Zip)

> Drop Off Address (Last) *

(Address, City, State, Zip)

> Pick Up Date And Time *

YYYY

AM/PM

Please Assume Los Angeles Area Traffic
If Airport Pick Up, Please put Actual Flight Arrival Time, so we can track your flight.

> Pick Up Flight Info.
(if we pick you up at the airport)
**all Airport pickups are at curb side unless notified (fee aplies)

(Airport, + Airline Name, Flight #)

> Return Date And Time
(pls read the explanation)

YYYY

AM/PM

Please Assume Los Angeles Area Traffic
If it is Airport Pick Up, Please put the Actual Flight Arrival Time.
If you do not need no return, Pls put th same date and time as your pickup, then select one way for trip type.

> Returning flight Info.

(Airport, + Airline Name, Flight #)

> Type of Trip *

Please just select one and you can make updates if any changes comes up.

> Types of Vehicle w/
Flat Rate based on round trip reservation. One way just add $10 *

All trips are before Gratuity (20% Tip) and other charges (ex. Airport Fees, Parking, Meet-n-Greet and Wait Times)

> Type of Occasion *

> Anything You Want us to Know or Special Request.

Please be specific and brief in a simple short statment

> Booker/Agent Info
(so we let you know of any issues)

Travel Agents, Office/Personal Assistant Info. if you are the person in charge of this or all travel needs.

Service is provided by:

WARNING!

This Reservation has to be made at least 2 hours (for sedans) and 24 hours (for other type of cars) before your pick-up time. Or, call us at (800) 991-0478; to make a new reservation, to change, to confirm or to cancel your reservation. We will email, call or text you a confrmation number. If you don't receive a confirmation number; your reservation is invalid.

Click BUTTON for

QUOTE or QUESTIONS

WILSHIRE TRANSPORTATION, INC. Toll Free: (800) 991-0478

A CERTIFIED LIMOUSINE, TAXI AND MEDICAL TRANSPORTATION COMPANY IN LOS ANGELES

Los Angeles Limousine Service . Los Angeles Taxi Service . Los Angeles Non-ER Medical Transportation .

YOU HAVE TO MAKE ONLINE RESERVATION AND CONFIRMED WITH A CONFIRMATION NUMBER TO PAY IN ADVANCE

1 | Page     Wilshire Transportation Inc’s Service Contract
Name of Client, or, (Parent/Guardian, if under 18 years of age) _____________________________________

Client agrees he/she is or over the age of 18 and fully read and understand the terms of this contract.

Client hereby verifies that the pick-up date, times, number of passengers and billing information are correctly stated Here >> Date of Service _________________  Start Time  ______ Finish Time ______ Number of Passengers ______ Type of Occasion_______________________ Type of Car _____________________ Payment By & last 4 # _______

Wilshire Transportation, Inc.  is authorized by the Customer, with either verbal or signed acceptance, to keep payment information along with the customer’s travel information for future references. Your safety and privacy is guaranteed!

Client hereby authorizes Wilshire Transportation, Inc. to charge the first hour’s rate to the credit card on file, at the time of reservation, which is non-refundable for late cancellation.

Client understands the late cancellation fee is the first hour’s rate if not made within 3(three) for Sedans and 72(Seventy two) hours for other types of Vehicles prior to the trip.

Client understands all payments are due at the time when passenger is picked up; and we may charge whole or partial balance to guarantee the service

Client understands that the Wilshire Transportation, Inc. chauffeur does not give any kind of refunds at anytime.

Wilshire Transportation, Inc. has put in place appropriate physical, electronic, and managerial procedures to safeguard and help prevent unauthorized access, maintain data security, and correctly use the information we collect on-line. We will not sell, share or rent any financial information collected from you except as necessary to fulfill your order.

Client is fully understands and agrees that all charges are fairly assessed by Wilshire Transportation, Inc. i.e. Base hourly Charge, Taxes, gratuity, trip related expenses is all are applicable to the service requested.

Client is fully responsible for his own and all passengers in the vehicle; and any party attendees at the pickup or drop-off locations.

Client shall be liable for all damages to the vehicle sustained during client's trip; which include all spills, burns, rips, tears, or damage to the television, stereo or other equipment. Client agrees to pay a service charge of atleast $500.00, to be cleaned any spillage in the vehicle, to return the vehicle to its original cleaned standard.

Client understands that there will be no eating or smoking in the vehicle or the trip will be TERMINATED immediately.

Client agrees to pay directly to the chauffeur for the cost of all parking expenses, airport surcharges, freeway tolls or trip overtime.

Client agrees that if anyone in the party is found using any illegal drugs, fighting in the car or next to the car, or any other conduct, considered inappropriate by the chauffeur, the chauffeur is under strict order to return all passengers to the starting point or the drop off point or any nearby safe location immediately; whichever is convenient. And no refunds of charges.

Client agrees that this contract must be signed and faxed back within 48 hours of reservation to guarantee confirmation.

Wilshire Transportation, Inc. reserves the right to substitute one vehicle for another vehicle providing it is the same or larger size vehicle, regardless of color. All vehicles are quoted subject to availability at the time of booking. Advertised promotions are subject to change without notice. But, quoted rates remain unchanged. We will guarantee your satisfaction

Client agrees that the Wilshire Transportation, Inc. shall not be held liable for any damages arising out of the Wilshire Transportation, Inc.’s inability to perform due to inclement weather, mechanical or electrical difficulties, delays due to traffic conditions, or any unforeseen events beyond the reasonable control of Wilshire Transportation, Inc.

Client understands that the Wilshire Transportation, Inc. shall not be responsible for any items left in the vehicle or the safe keeping of any item.

Signed and Dated by Client.  Name _____________________________Signature ___________________ Date ___________