Corporate Member Agreemen Please enable JavaScript in your browser to complete this form.Business Name: *Business Address:Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBusiness Telephone:Fax:Contact Name: *Phone #:Email: *Is this business incorporated?YesNoNumber of years in business:State of incorporation:Federal Tax I.D. Number “if known”:Brief description of business/Industry:Authorized Personnel Names of Personnel Authorized to Charge Services:NamePhoneNamePhoneNamePhone(If needed, attach additional names of authorized personnel on your company letterhead.)Billing MethodMonthly billing: Check to be issued for payment within 21 days from the date of invoice. If payment is not received by the due date, I understand that my credit card will be charged for the full amount.Monthly billing: I authorize KLT to charge my credit card at the end of the month for the full amount.I authorize KLT to bill my credit card at the end of each trip.Terms of Agreement Failure to receive payment in full will subject applicants to a finance charge, which will be computed on the average daily balance at a monthly rate of 2% (ANNUAL PERCENTAGE RATE OF 24%). In the event that the account remains unpaid and legal fees therefore are incurred by KLT, to obtain payment for services rendered or for information and assistance KLT may require from whatever source it deems necessary to obtain payment, the applicant shall be held accountable for all expenses incurred in the collection process, including reasonable attorney fees. The undersigned on behalf of the applicant authorizes KLT to conduct a complete and thorough check of all the information supplied to KLT. Furthermore, the applicant certifies that the above statements are true, correct and complete and have been made by the undersigned, furthermore the undersigned is fully aware of Elite Limousine Inc.'s cancellation, reservation and billing policies.Special Notes:I hereby authorize my signature to be on file with KLT for the purpose of charging my credit card for any transportation services. I authorize the respective credit card company designated below to accept this form in lieu of my signature appearing on the individual credit card receipt for transportation services renderedTotal Amount Billed:Credit Card Type:AMEXVISAMCDISCredit Card Number: *Expiration date: *Security Code: *Billing Address: *Address Line 1CityState / Province / RegionPostal CodeEmailed Receipt:*Denotes Required FieldsKY LEGACY TOURS POLICIES, TERMS AND CONDITIONS CREDIT CARD AGREEMENT.*The undersigned acknowledges and agrees that all rates quoted for services provided by KLT are estimates only and final charges are assessed upon service completion and will be based on the actual service provided. *The undersigned acknowledges and agrees that KLT reserves the rights to assess a minimum fee of $500.00 for any necessary and/or cleaning and /or damage to the vehicle beyond normal wear and tear. *The undersigned fully understand KLT’s Cancellation Policy that, Cancellations of all Airport Trips require at least a twenty four hour notice, and there is a forty eight hour cancellation notice required for all hourly Charter Services, late cancellations and no-shows will be charged the minimum applicable rate. *The undersigned acknowledges and agrees that KLT is not responsible for personal property left in the vehicles. KLT honestly and sincerely will maintain the schedule submitted by its customers, but such is not guaranteed and liable for delays/service interruptions or damages caused by acts of God, strikes riots, authorities of law, public enemies, hazards or dangers inclement weather, hazardous road conditions, accidents or breakdowns or any other condition beyond its control.PRINT CREDIT CARD HOLDER NAME:CREDIT CARD HOLDER SIGNATURE Click or drag a file to this area to upload. Submit