Applicaton Form

 
 
Company
Contact
Type of Business
Address:
Floor/Suite:
City
State
zip
Phone
Fax
Cell Phone
E mail
Number of Employees
Bank Information
Bank Name
Account #:
Trade References
Reference #1
Company
Address
Contact:
Phone:
     
 

I Authorized Atlas Limo Inc. to verify the above information.

In addition to filling out this form, the firm or corporation must submit a letter on its letterhead applying for Credit Voucher Charger. Please include list of all authorized personnel.
Please Select the Gratuity Add 20%

This applicant firm assures all financial obligations with regard to charges incurred by their personnel. This will authorize Atlas Limo Inc. to verify the above information. Atlas Limo Inc. reserves the right to refuse services to firms who are in arrears.
TERMS: NET 10 DAYS.

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