Credit Application – metrowesttaxi

ACCOUNT / CREDIT APPLICATION

Thank you for the opportunity to serve you!

Business or individual to whom credit is to be extended.

Name *

Phone *

Type of Business *

If your firm has ever operated under a different name, please list Name and Address.

Address *

Has business declared bankruptcy in the last 14 years? *

Yes

About you *

Resume

No file chosen

Max. file size: 64 MB.

Minimum of two if corporation or partnership.

Name *

Title *

Name *

Title

Minimum of two if corporation or partnership.

Bank name *

Account No. *

Branch name *

Payment must be made within 14 days after receiving bill.