(201) 601-0001

Secaucus, New Jersey

ABE’S LIMO & CAB SERVICE, INC.

150 Front Street Secaucus, New Jersey 07094

E-mail: bes1@verizon.net

Phone: 201-601-0001


Toll Free: 1-888-241 0711

www.abeslimoandcabservice.com

Fax: 201-866-8323

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                                            


INSERT YOUR TEXT HERE