Credit Card Billing Account Application

Credit Card Billing Account Application

Thank you for your interest in establishing a Credit Card Account with BostonAsapCoach for your Ground Transportation. 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.
Once received we will process your application by the next business day, at which time we will contact you with your Account Number.

If you have questions or need further assistance please contact us via email or call 800.960.0232.

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.