E-mail:
Business Name:
Business Address:
Mailing Address (if different):
City:
State:
Zip:
Business Telephone:
Fax:
Contact Name and Phone Number:
Is this business incorporated?
Number of years in business:
State of Incorporation:
Federal Tax ID Number:
Brief description of business:
Has this company ever filed for bankruptcy?
Are P.O. numbers required?
Type of account requested:
Name on Card:
Card Number:
Card Type:
Expiration Date:
Security Code:

Names of Personnel Authorized to Charge Services:
 
 
 
 
 
(If needed, fax additional names of authorized personnel on your company letterhead.)

In the event that this credit application is approved, the applicant hereby agrees to and accepts the following terms and conditions: FULL PAYMENT SHALL BE DUE UPON RECEIPT OF STATEMENT. Failure to make payment in full within 30 DAYS of statement closing date will subject applicants account to a finance charge, which will be computed on the average daily balance at monthly rate of 2% (ANNUAL PERCENTAGE RATE OF 24%).

In the event that the account remains unpaid and legal fees therefore are incurred by All Cities Limo, to obtain payment for services rendered or for information and assistance All Cities Limo  may require from whatever source it deems necessary to obtain payment, the applicant shall be held accountable for all expenses incurred in the collection process, including reasonable attorney fees.

The undersigned on behalf of the applicant authorizes All Cities Limo  to conduct a complete and thorough check of all the information supplied to All Cities Limo. Furthermore, the applicant certifies that the above statements are true, correct and complete and have been made by the undersigned for the purpose of inducingAll Cities Limo, to extend credit to the applicant knowing that All Cities Limo, will rely thereupon, furthermore the undersigned is fully aware of All Cities Limo's cancellation, reservation and billing policies.
Authorized Signature: *
Title: *
Date Signed: *
Initials: *