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Name:
Email:
Phone Number:
Student(s) Name
Prom Date:
Pickup Address:
Prom Location:
Prom Package
Escalade Black Int. ($700)
Escalade Red Int. ($725)
Escalade Starlight ($800)
Escalade Executive Package w/Starlight ($900)
Escalade IQ ($700)
Escalade Brown Int. ($650)
BMW 7 Series ($750)
Mercedes S580 ($1,150)
Audi A8 ($700)
Navigator Brown Int. ($700)
Ford Expedition ($550)
RR Wraith ($2,500)
RR Ghost ($2,800)
RR Cullinan ($4,000)
Sprinter van (provide hours in special requests)
Stretch Limo (provide hours in special request)
Trolley ($1500)
Other (enter in special requests below)
Special Requests
Consent
I'm the parent or legal guardian authorizing this booking.
I'm able to pay the deposit via Zelle or Credit Card
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mmramirez@mrblackcarservice.com
(773) 312-1125
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