Absolute Class Limousine -408-736-3895
 
   

 

 
 
Corporate Account Application

 

INSTRUCTIONS:
Fill out this form and click on SUBMIT below. 

 

BUSINESS INFORMATION:
   
Business Name:

Contact Name:

Business Address:
City:
  State:  Zip:

Mailing Address (*If different):
City:
  State:  Zip:

Business Telephone:
Fax:
E-Mail Address:

Legal Status of Business: Corporation
LLC
Partnership
Sole Proprietorship
Non-Profit Organization
Government
 

Federal Tax I.D. Number:
Are P.O. numbers required? Yes No
   
BILLING INFORMATION:
Type of Account Requested: Monthly billing and our company will issue a check for payment within 30 days.
Monthly billing and I authorize you to charge my CC at the end of the month for the whole amount. (complete CC# information below):
I authorize you to bill my CC at the end of each trip. (complete CC# information below):

Credit Card Type: Visa M/C AMEX DISCOVER
Name on Card:
Credit Card #:
Expiration Date:
Billing Zip Code:
CCV: (Credit Card Verification Number)

* Name(s) of Personnel Authorized to Order Services:
  (1) (2)
(3) (4)
(5) (6)
(7) (8)
(9) (10)
(If needed, attach additional names of authorized personnel on your company letterhead)
   
LEGAL STATEMENT: 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 15 DAYS of statement closing date will subject applicants account to a finance charge, which will be computed on the average daily balance at a monthly rate of 2% (ANNUAL PERCENTAGE RATE OF 24%). In the event that the account remains unpaid and legal fees therefore are incurred by Absolute Class Limousine , to obtain payment for services rendered or for information and assistance Absolute Class Limousine 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 Absolute Class Limousine to conduct a complete and thorough check of all the information supplied to Absolute Class Limousine. Furthermore, the applicant certifies that the above statements are true, correct and complete and have been made by the undersigned for the purpose of inducing Absolute Class Limousine, to extend credit to the applicant knowing that Absolute Class Limousine, will rely thereupon, furthermore the undersigned is fully aware of Absolute Class Limousine's cancellation, reservation and billing policies.
   
Name of Person Preparing this document:
Title:
Initials:
Date: Wednesday 28th of June 2017 05:09:36 AM
   

To submit, please enter the numbers you see in the image below then click on SUBMIT APPLICATION:
Image verification

AFTER YOU SUBMIT, PLEASE WAIT A FEW SECONDS WHILE THE DATA IS PROCESSED

 

 
 
 

 

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Copyright � 2004-2009 Absolute Class Limousine

Telephone
Peninsula : 650-352-1344
South Bay : 408-736-3895
Santa Cruz : 831-325-0703

CALIFORNIA STATE LIMOUSINE OPERATOR LICENSE NUMBER: TCP-25177-P

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