CORPORATE CREDIT AGREEMENT / ACCOUNT VOUCHER CHARGE PAGE 1 OF 2
Fax or mail this form to the above address. Fax. # 516-775-1577.
Charge account applications must be filled out completely for processing. Thank
you!
COMPANY INFORMATION: (Please print)
Company Name
__________________________________________________________________________
Address
________________________________________________________________________________
City _____________________________________ State ____________ Zip Code
_____________________
Telephone # _________________________________ Fax #
______________________________________
ACCOUNTS PAYABLE INFORMATION:
Contact Name: ______________________________ Position Held
_________________________________
Telephone # ______________________________ Fax #
_________________________________________
Nature of Business ____________________________________ Number of Years in
Business ____________
Federal ID # _________________ Average Monthly Usage $________ No. Of Employees
_______________
BANK INFORMATION:
Bank Name
____________________________________________________________________________
Address ____________________________ City _____________________ State ______ Zip
___________
Contact Person ____________________________ Account #
____________________________________
C.C Type ____ AMX _____ VISA ____ MC, Card #
_____________________________EXP__________
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PAGE 2 OF 2
The following persons are authorized to call in reservations for those not
having vouchers to ride:
______________________ ______________________ _______________________ ______________________
THE APPLICANT FIRM ASSUMES ALL FINANCIAL OBLIGATION WITH REGARD TO ALL CHARGES
INCURRED. ALL CHARGES ARE TO BE PAID IN FULL UPON RECEIPT OF INVOICE PAYMENT
TERMS ARE OF A 30-DAY NET. KCC ENTERPRISE USA, INC. RESERVES THE RIGHT TO REFUSE
SERVICE TO FIRMS WHO ARE IN ARRERARS. PAYMENTS RECEIVED 15 DAYS OVER THE DUE
DATE WILL INCUR A 1.5-% PER MONTH OR 18% PER YEAR FINANCE CHARGES. A $2.00 PER
VOUCHER SERVICE CHARGE WILL BE AUTOMATICALLY ADDED TO YOUR BILL. CUSTOMER AGREES
TO BE RESPONSIBLE FOR PAYMENT OF ALL LOST, STOLEN OR MISSING VOUCHERS. CUSTOMER
AGREES TO BE RESPONSIBLE FOR ALL RESEVATIONS MADE RESULTING IN A “NO SHOW”
GRATUITIES: ______ 10% ______15% _______20% _____ OTHER
I have read, understand and agree to be bound by the terms of this agreement.
Signature ______________________________________________________ Date
_____________________
Name: ________________________________________________________(Please Print)
Please fax this application back to 516-775-1577 Thank you!