Manhattan Carriage Company

Please provide the following contact information:

*Name

Print*Signature

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal

Country

Work Phone

*Home Phone

*Cell Phone

*E-mail

*When would you require Carriage services?

Date and time:

Do you require arrangements for special pickup?

Yes No If yes, where?

Please specify customize tour request (Location, include date, time of arrival, departure, length of tour, and reason):

Please indicate below whether this is cash or charge. This cannot be changed after or during the ride.

*For Concierge Services: You must write in below, I authorize Manhattan Carriage to charge my card for the following:

*International Customers: Please send us your 1.Hotel name 2. Hotel Guest name or registered name.

(For emergency contact only)

You will receive a reply with a price quote in 24 hours or less.

Please provide the following billing information: In doing so you are authorizing Manhattan Carriage of NYC to charge you

for lateness, no shows, or taking the wrong carriage. There will be a 5% add on for any of these aforementioned charges. On

weekends (Fri/Sat/Sun) no shows are charged for the full ride booked, on weekdays-just our time lost (minimum $50-)

You also decline the right to dispute the surcharges. If you are diligent, these charges will never be added.

Required Regardless

Credit Card

Cardholder Name

Credit Card number & 3 digit security number

Expiration Date

BILLING ADDRESS shown on card

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

*Please complete information. Form will be discarded if necessary information is not submitted.

Please review Home Page before booking. There are certain times when we do and do not accept rides.

You may also call in your billing information: .OFFICE # 347 298 7927....(10AM--9PM) Valentines week contact.manhattancarriage@yahoo.com

*Name
PrintSignature*
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal
Country
Work Phone
*Home Phone
*Cell Phone
*E-mail

Required Regardless
Credit Card
Cardholder Name
Credit Card number & 3 digit security number
Expiration Date

	BILLING ADDRESS shown on card
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country