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          CORPORATE ACCOUNT SETUP FORM

click here to download PDF 
click here to download Word Doc 

 


COMPANY INFORMATION:


* Legal Name of Business:
  Doing business as:
  Type of Business:
  Date of Incorporation:   (if applicable)
  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 invoices are to be applied to the credit card below:
* Credit Card Type: Visa   Mastercard  Amex   Discover   Diners
* Name on Card:
* Credit Card Number:
* Expiration Date:
 

NAMES OF PERSONNEL AUTHORIZED TO REQUEST SERVICE
* Full Name:     ext:
  Full Name:     ext:
  Full Name:     ext:
(If needed, email additional names of authorized personnel):
 

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:
The undersigned hereby confirms that cancellations of any reservation must be made within 12 hours of scheduled service to avoid incurring cancellation fees. Cancellations made inside of the 12 hour window will be imposed a 100% charge of the total balance due for the particular trip.
In the event that the account remains unpaid for any reason, Universal Limousines may pursue legal action and will hold applicant and/or Company liable for all legal and other related expenses, including but not limited to attorney fees, court filing fees, and any other expenses incurred in the collection process.
 

** Authorized Signature/Title:
 * this will serve as your digital signal.

* Date:
   
     


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