Application for Corporate or Personal & Credit Cards
ALL INFORMATION MUST BE COMPLETED

Date:    	    	
Your Name:              
Billing Address:        
City:                   
State:    	        
Zip:    		
Phone:    	        
Phone Extension: 	
Home Phone:      	




Request Credit for 
(full business name):   
Type of Business:       
   Corp  Partnership    Proprietorship		   
Federal Tax ID#:    	
OR  
Social Security #:      




For credit card "SIGNATURE ON FILE" service,
fill in Date or check for OPEN SERVICE
Date of Service :        or OPEN SERVICE
RESERVATION #:    	



Contact name for Accounts Payable:
                        





TERMS:
By applying for Credit, the customer authorizes
Presidential Limousine, Inc. to charge any invoices 
not paid within 30 days to the credit card listed below.

All billing is due and payable upon receipt.  
All charges will be added to the billing as applicable 
(i.e. Tolls, Parking, Cell Phone, Fuel Charge, etc.).  
A 20% gratuity shall be added to all billings.

All charges will be incurred if reservation is not 
cancelled within 6 hours of departure or arrival.



Credit Card Information (optional)
You can leave this blank at this time- someone
will contact you within 24 hours to set up billing.
Name on Card:      
Type of Card:      American ExpressVisaMasterCardDiner's Club
Card Number:       
Expiration Date:   



Trade Reference 1

Name:              
Address:           
City:              
State:    	   
Zip:               
Phone:    	   
Contact:    	   

Phone:    	   



Trade Reference 2
Name:              
Address:           
City:              
State:    	   
Zip:               
Phone:    	   
Contact:    	   

Phone:    	   



Trade Reference 3
Name:              
Address:           
City:              
State:    	   
Zip:               
Phone:    	   
Contact:    	   

Phone:    	   



Trade Reference 4
Name:              
Address:           
City:              
State:    	   
Zip:               
Phone:    	   
Contact:    	   

Phone:    	   
  

   
SSL Certificates



For Questions or to make other arrangements, 
Please call 303-320-1101.