Credit Card Billing Account Application

Thank you for your interest in establishing a Credit Card Billing Account with BostonAsapCoach for your chauffeured ground transportation service needs. Our credit card billing account allows you to consolidate your accounting, by booking all rides for all company employees under one account number.
Please note that with a credit card account, each ride will be individually billed to the credit card provided at the time
the reservation is made. The credit card will be charged upon completion of the trip.

Important: Please note you will not be able to save or print this form on your device after submitting it. If you need a copy for your records, please print before clicking “Submit.”

    Credit Card Billing Account Application
    All Fields marked with an asterisk(*) are required.

    Tell us about your Organization

    Company Information

    Contact Information

    Payment Method

    Credit Card: Each trip will be billed individually using the credit card that must be provided at the time of reservation. The card will be charged upon completion of the trip.

    Signature on File Authorization

    I hereby authorize my signature to be on file with BostonAsapCoach for the purpose of charging transportation services on my credit card for my Personal and/or Guest use and/or Company Business Travel. I authorized the associated credit card company designated below to accept this form in lieu of my signature appearing on each individual credit card receipt for transportation services rendered.

    E-Signature of Approver

    Please note that approver must be authorized user of the above listed Credit Card.

    *By typing your name in the box above and submitting this application electronically you are agreeing to the above listed Payment terms. Also authorizing BostonAsapCoach to verify the above information and debit your Credit Card for the ground transportation services provided.