Abe's Limo & Cab Service
Secaucus, New Jersey
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ABE’S LIMO & CAB SERVICE, INC.

   150 Front Street   Secaucus, New Jersey 07094      

E-mailbes1@verizon.net                                                        Phone: 201-601-0001

                                                                                                                              1-888-241 0711 

                                                                                                                       Fax    201-866-8323

            www.abeslimoandcabservice.com

            

 

 

Credit Application

 

 

Company Name:___________________________________________________

Address:

Number & Street:   ___________________________________________

 

City: ____________________ State:___________ Zip code:_________

 

Telephone Number: (     )   _________  _____________________

 

Contact Person: ___________________________________________________

 

 

 

 

 

Billing information if Different:

 

            Name: ______________________________________________________

 

Number & Street:   ____________________________________________

 

City: ____________________ State: ___________ Zip code:___________

 

Telephone Number: (   ) _______  _____________________ EXT._________

 

 

 

 

 

Type of Account: Personal (___), Corporate (___) Other (___).

 

            If other, Explain: ______________________________________________

 

 

 

In case of non-payment after 30 days, please feel free to charge my account and/or my corporate account.

 

Card Holder's Name:


Card No.

                 

Exp. Date:

 

A copy (front & back) of the credit card above must be provided.

 

Please provide us with a list of the names and telephone numbers, of those authorized to charge the company's account.

 

       Name                                   Telephone Number

  1. ..........................................................................
  2. ..........................................................................
  3. ..........................................................................
  4. ..........................................................................
  5. ..........................................................................

I (we) certify that the above information is true to the best of my (our) knowledge and belief.

 

________________________________________                _________________________

Applicant Signature                                            


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