Denver Colorado Limo Service
 © Copyright 2012 Starlimousine.net. All rights reserved.             Terms  |  Credit Authorization Form                          By GraphixImage
CORPORATE TRANSPORTATION APPLICATION

E-mail: *
Confirm 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: *  
Monthly billing (our company will issue a check for payment within 30 days).
Monthly billing (I authorize Star Limousine to charge my credit card at the end of the month for the whole amount).
I authorize Star Limousine to bill my credit card at the end of each trip.
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 Star Limousine, to obtain payment for services rendered or for information and assistance Star 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 Star Limousine  to conduct a complete and thorough check of all the information supplied to Star 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 Star Limousine, to extend credit to the applicant knowing that Star Limousine, will rely thereupon, furthermore the undersigned is fully aware of  Star Limousine's cancellation, reservation and billing policies.
Authorized Signature: *
Title: *
Date Signed: *
Initials: *