1. CREDIT CARD You will receive
an itemized monthly statement with the total amount,
which will be then charged to your credit
card. (all major credit cards welcome!)
NAME
NUMBER
CARD TYPE
2. MONTHLY BILLING will be
mailed to you and is payable on receipt.
Please furnish three trade credit
references and allow time for processing.
NAME
PHONE
ADDRESS
NAME
PHONE
ADDRESS
NAME
PHONE
ADDRESS
Additional Information
Please provide the following information
about what type of service you require:
Type of account:
Individual
Corporate
If corporate, number of individuals
expected to use our service:
5
or less
5-10
More than 10
Number of expected trips per week:
5
or less
5-10
More than 10
Most frequent airport destinations:
Logan
Manchester
T.F. Green
Other destinations:
Please list any special needs or concerns
you may have in using our services (besides timeliness & cleanliness, of
course!)
Check here if you would also like to be
enrolled in a voucher program.
I acknowledge that I am duly authorized to
sign and have read and accept all terms & conditions set forth herein by the
New Town Taxi Association, Inc.
