Name:

          Address:

          City, State & Zip:

          Phone #:

          Email Address:

          Credit Card #:

          Expiration & CSC Code (3 digit code of back of card):

          Party Date:

          Occassion:

          Bus Request (Viper - Copperhead - Black Mamba - Rattler):

          Pick Up Time & End Time:

          Pickup Address:

          Electronic Signature:

           

          * By signing this contract, and entering your credit card information in the appropriate fields you are authorizing Kansas City Party Bus LLC. to charge the credit card for any of the following charges; deposit, cancellation fee, damages to the vehicle, and all services rendered. We will calculate the exact amount of hours and charges when the trip is completed. MUST BE TO BARS BEFORE 11:30PM - BARS THROW OUT ALL OF THIER LISTS AFTER 11:30PM.