Corporate Account

Corporate Account

Corporate Account Application

Corporate Account Application

To assist us in the prompt processing of your application please complete all of the items listed below.

Business Name:

E- Mail Address:

Business Address:

Mailing Address (if different):

City: Province/State: Postal Code/Zip:

Business Telephone: Fax:

Contact Name and Phone #:

Is this business incorporated? Yes No         Number of years in business:

Province/State of incorporation:                     Tax ID Number:

Brief description of business:

Has this company ever filed for bankruptcy? Yes No

Type of Account Requested:

Monthly billing (our company will issue a check for payment within 30 days).

Monthly billing (I authorize Halton V.I.P. Limousine Inc. to charge my credit card at the end of the month for the whole amount).

I authorize Halton V.I.P. Limousine Inc. to bill my credit card at the end of each trip.

Name of Bank:

Type of Business:   Date incorporated

Principal Bank

Phone #

Address:

Account #

(OPTIONAL) Credit Card Information:

Name on Card:

Credit Card #:    Expiration Date:

GRATUITIES

Many companies in our industry automatically add an administration fee and/or an automatic gratuity to all accounts. Halton V.I.P. Limousine Inc. does neither. However, if you would like an automatic gratuity added to each order, please specify the percentage.

Yes    Please add   % to each order.

No    we prefer to tip when warranted.

Names of Personnel Authorized to Charge Services:

(1)      (6)

(2)      (7)

(3)      (8)

(4)      (9)

(5)      (10)

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

AGREEMENT :

In addition to filling out this form, firm or corporation must submit a letter on its letter head applying for credit voucher charge, and also indicate a list of names of authorized personnel who are allowed to place orders. The above firm assumes all financial obligation and guarantees payment with regard to incurred charges on all vouchers for jobs ordered by authorized personnel. Clients listed above personally guarantee payment of any and all charges including but not limited to, all collection and attorneys fees in case of delinquency. Cancellation can be made 24 hours prior to the booking time on every reservation. No- shows will be charged a full price as agreed at the booking time.

Above clients permit (Halton V.I.P. Limousine Inc.) to submit unsigned credit card voucher, stating that client’s signature is on file or to amend, alter, complete or execute on behalf of the client, credit card voucher in clients name for payment of charges.

Authorized Signature(s)                           Title                                   Dated

(1)

(2)

(3)

INITIALS: