Please print, complete and fax to 773-777-0106
BILLING INFORMATION:

 
Company Name:
Contact Person(s):
Mailing Address:
Telephone Number:
How is this company organized?
Corporation LLC Partnership Sole Proprietorship
State of Incorporation (if a corporation):
GUARANTEE INFORMATION: All travel must be guaranteed under conditions stated below.
Circle one:
Amex Visa MasterCard
Card Number:
Expiration:
Full Name on Card:
ACCOUNT CONDITIONS:  
  1. Airport cancellations must be received at least 12 hrs prior to scheduled pick up time to avoid charge.
  2. Charters and Special events must be canceled at least 1 week in advance to avoid charge.
  3. A "No Show" (i.e., reservations not canceled properly) will be billed at corporate rate plus 20% gratuity.
  4. Payment is due 14 days after receipt of an invoice. Payments more than 30 days past due will be charged to the credit card under the guarantee information above and will include a 5% late fee.

Corporate Account Application PDF Form
Corporate/Personal Account Application PDF Form
Prepaid Service PDF Form
Please print, complete and fax to 773-777-0106

 

info@rushlimousine.com
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