..:: Royal American Limousine - Corporate Account Form ::..

CORPORATE ACCOUNT FORM Call us now : 973-306-7075

CORPORATE ACCOUNT APPLICATION

BUSINESS INFORMATION:

Legal Name of Business :

Doing business as :

Type of Business :

Date of Incorporation :

State of Incorporation :

Federal Tax Identification Number:

E-Mail Address :

Mailing Address :

City :

State :

Zip :

Business Phone :

Business Fax :

Applicant Name :

Ext:

TERMS OF PAYMENT

It is agreed that payments of in voices are due within 30 days from the date of each invoice. In the event of non-payment, the below listed credit card will be charged for the balance owed.

Credit Card Type :

Visa MasterCard American Express Discover

Name on Card :

Credit Card No :

CVV :

Expiration Date :

NAMES OF PERSONNEL AUTHORIZED TO REQUEST SERVICE

Full Name :

Ext :

Full Name :

Ext :

Full Name :

Ext :

Full Name :

Ext :

Full Name :

Ext :

(If needed, attach additional names of athorized personnel on your company letterhead)

TERMS AND CONDITIONS (Please review the below listed terms and conditions)

The below listed applicant hereby agrees to and accepts the following terms and conditions:

FULL PAYMENT OF ALL INVOICES IS DUE UPON RECEIPT OF STATEMENTS.

failure to make payment in full within 30 DAYS of any statement will automatically authorize Royal American Limousine to charge the credit card on file.

In the event that the account remains unpaid for any reason, Royal American Limousine may pursue legal action and will hold applicant and/or(Name of company) liable for all legal an d other related expenses, including but not limited to attorney fees, court filing fees, and any other expenses incurred in the collection process.

The undersigned hereby confirms that cancellations of any reservation must be made more than 4 hours before the scheduled pick up time for a full refund.Cancellation within 24 hours is subject to 100% of the total balance due for the particular trip.

AUTHORIZED PERSON :

DATE :