Boston Car Service Charge Account - limos and boston, limo services in massachusetts

Boston Airport Transportation - Cambridge Limousines - Birthday Limo Boston - Massachusetts Limousine Rental

BOSTON CAR SERVICE CHARGE ACCOUNT APPLICATION

** CLICK HERE TO FILL OUT SECURE FORM **

*Company Name or Individual:
*Social Security #:
*Telephone #:
*E-mail Address:
*Address:
*City:
*State:
*Zip:
If Company
Owner of Bus:
Title:
Address:
City:
State:
Zip:
Type of Business:
When Established:	(MM/DD/YYYY)
Please give the name and exact address of where you desire the statement to be sent.
*Company Name:
*Attention to:
*Address:
*City:
*State:
*Zip:
*Person Responsible for payment:
*Telephone # :
Business References:
1) Name:
Account #:
Address:
Telephone # :
2) Name:
Account #:
Address:
Telephone # :
Bank References:
1) Bank:
When Opened:
Address:
Account #:
2) Bank:
When Opened:
Address:
Account #:

Accounts 30 days past due will be charged 1 1/2% interest each month
on the unpaid balance. Statements are payable upon receipt. On Company
accounts the owner(s) will be personally liable.

Name of person submitting application:
Title:

CUSTOMER SERVICES

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