Vip Limo International

VIP Limo International considers the information you provide in this application to be confidential. We will use it only in connection with your relationship with VIP Limo International.

Note: All fields must be filled

Corporate
Individual

Login Information

Username
Password
Re-Type Password

Account Holder Information

Title		First Name		Middle Name		Last Name

Business or Home Street Address
(cannot be a P.O. Box)

City	State	Zip Code

Country:

Business Telephone Number

E-Mail Address

Mailing Address*
(if different from above)

*P. O. Boxes
can be used.

City		State		Zip Code

For Corporate Clients Only
Business Type	Years In Business	Number of Years at Address

List Of Senior Officers

Name	Title	Telephone Number

Name Of Person In Charge Of Transportation

Name	Title	Telephone Number

AGREEMENT:

In addition to filling out this form, firm or corporation must submit the Credit Card Account Application Form applying for credit voucher charge, and also indicate a list of names of authorized personnel who are allowed to place job orders. The above firm assumes all financial obligation and guarantees payment with regard to incurred charges on all vouchers for jobs ordered by authorized personnel. Clients listed above personally guarantee payment of any and all charges including but not limited to, all collection and attorneys fees in case of delinquency.

Cancellation can be made 4 hours prior to the booking time on domestic rides and 48 hours on International rides. No-shows will be charged a full price. In case of a conflict between the advertised price and/or the quoted price and/or the voucher price, the voucher price will prevail and the above firm is obligated to pay the full fare as stated on the voucher.

Above clients permit VIP Limo International to submit unsigned credit card vouchers, stating that client's signature is on file, or to amend, alter, complete, or execute on behalf of the client, credit card vouchers in clients name, for payment of charges.

Signature:
Printed Name and Date on this Email form represents that the signatory (person) has the legal right, power and authority to enter into this Credit Application.

Signature
Date

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