Important: This is for a reservation for a Sunday-Thursday only. If your intent was to make a reservation for a day that is not a Sunday thru Thursday or New Years Eve please select  Friday , Saturday or New Years Eve before continuing as rates will be adjusted to the correct day.  

Personal Information:

Name:    (First & Last please)

Address:

City:        State: IN IL OH KY AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IA KS LA ME MH MD MA MI MN MS MO MP MT NE NV NH NJ NM NY NC ND OK OR PA PW PR RI SC SD TN TX UT VT VI VA WA WV WI WY    Zip

Phone:   (###-###-####)  alt. Phone:   (###-###-####)

E-mail: 

Reservation Details:

Date of Service: mo/da/yr (##/##/##)  Vehicle: choose 16 passenger Hummer 16 passenger Excursion .

Number of Hours 0 3 4 5 6 7 8 9 10   Stock Vehicle:  Ice & Water $25

Arrival Time:     Hr 1 2 3 4 5 6 7 8 9 10 11 12 Min :00pm :15pm :30pm :45pm :00am :15am :30am :45am (please double check that you selected am/pm correctly).

Arrival Location: (residents, bar, restaurant etc...)

Arrival Address (Please include the city and zip):

Final Destination:

Address:

Additional Information, other stops or notes:

Please select a Payment Option:

20% deposit to the credit card below and I will pay the balance by credit card  the day before the service.

20% deposit to the credit card below and I will let you know later how I will be paying the balance

Charge the full amount to the card provided.

Credit Card Information: 

Name on Card:

Card #: exp. (mo/yr)  cid# 3 digit # on back of MC Visa & Discover or 4 digit on Front of AMEX

Please double check all of your information before clicking on the submit button below.  We should have an answer for you very shortly.  Please be aware that if you are submitting your request between 9:00 pm and 7:00am it could be 8:00am before you hear from us. We do take all requests in the order they are received.