Corporate Application

Be Treated Like Royalty, Ride in Comfort, Relax, Let me do the driving...

Cas Ltd 
Limousine & Photography Service

(708) 261-4790 or E-mail CasLtd1@gmail.com

Contract Account Application


Applicants Name:          Credit Card Type:         
Business Name:                          Card Holders Name:     
Business Address:                              (As it appears on Card)   
 City:    State:             Credit Card Number:    
                                            Zip Code:    (5 digits)                                 CVC:  (Security Code*3 digit code on reverse side)
Business Phone #:             Expiration:                    
Applicants Cell #:                                                                                                            
       
VALIDATION INFORMATION

E-mail Address:        :  
Billing Address, City, State & ZipCode:  


Please check one of the following

I hereby authorize Cas Ltd. to charge my credit card at the end of each trip.
I hereby authorize Cas Ltd. to charge my credit card at the end of each month for the entire amount  (itemized invoice issued).

Please provide Additional Notes:  

Please provide an accurate list of contact names of authorized individuals who can make reservations:

Name:      Telephone #:  
Name:        Telephone #:  
Name:            Telephone #:   
Name:   Telephone #:  

By placing a check here I
, understand and agree to pay the card issuer/issuing institution per the terms and conditions established for the card account as specified by the issuing institution. Also that if an amount is noncollectable as a result of the indicated credit card being canceled, the charge being placed in dispute, or otherwise, then any payments applied by Cas Ltd. will remain outstanding and I will pay Cas Ltd. a credit card non-payment fee of $35. I, Authorizing customer, do hereby confirm that I have read and agree to the above terms, regulations and Cas Ltd. Company agreement.

Applicants Name:   Date:    


Upon approval you will be notified in writing and a account number will be issued.
Thank You for your application. 
To Send, click the "Submit" button.

 

(This form must also accompany the Agreement Page * Read it and Click on Agree, Place your name & Date and click "Submit" Thank You!)


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