Direct Billing Account Application

Direct Billing Account Application

Thank you for your interest in establishing a Direct Billing Account with BostonAsapCoach for your Ground
Transportation. Please note that all transportation services booked to a direct billing account will be invoiced
monthly, and all payments are due upon receipt of the invoice.

If you provide all information on this form accurately and completely, an account can be opened as soon as 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
account_request@bostonasapcoach.com or call 800.960.0232.

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

Tell us about your Organization



1. Company Information










2. Contact Information






Accounts Payable Contact Information





3. Credit Information

Dunn & Bradstreet

Bank Reference











4. Trade Reference

Note: Landlords, utilities, and other ground transportation companies are not accepted.

Trade Reference One










Trade Reference Two










Trade Reference Three










*Applicant authorizes all credit references, banks and credit reporting agencies to disclose to BostonAsapCoach all pertinent information concerning the financial and credit history of the applicant.

Payment Options

BostonAsapCoach offers the following Payment options:

  1. Payments can be mailed to our PO Box Address below
    BostonAsapCoach
    PO Box 590686
    Newton Center, MA 02459

  2. Payments can be applied to a single Credit Card in one lump sum at the end of each month. Please send a letter of authorization on your Company’s letterhead authorizing BostonAsapCoach to charge the Credit Card. Please email it to billing_inquiries@bostonasapcach.com or fax it to 617.500.9945 Attn: Accounts Department.

Credit Card (required)

Signature on File Authorization

I hereby authorize my signature to be on file with BostonAsapCoach for the purpose of monthly 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 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, you are authorizing BostonAsapCoach to charge above listed Credit Card for Monthly Payments.


6. Terms of Payment

BostonAsapCoach invoices are due upon receipt. A late fee of 2% per month will be added to all invoices that have not paid within thirty (30) days after the receipt. In case of errors or questions with regards to your invoice, BostonAsapCoach must hear from you within 3 weeks of receiving the invoice in writing, on which a specific issue has appeared. You may withhold the payment on the amount in question while we are investigating the charge(s). You remain obliged to pay any part of the invoice that is not in question including any late fee.

In the event of your account is outstanding in excess of sixty (60) days, it will be considered as a delinquent or in default. BostonAsapCoach reserves the right to place accounts that are determined to be delinquent or in default on credit hold and charge the credit card on file for the balance owed, including any late fee. Additionally, if a credit card is inactive, expired, or for other reason is not charged the outstanding balance owed, BostonAsapCoach reserves the right to initiate a collection proceeding on such accounts. BostonAsapCoach will collect any and all attorney's fees, collection expenses, and court costs incurred by BostonAsapCoach in its effort to collect the outstanding balance owed. Additionally, BostonAsapCoach reserves the right to convert all overdue accounts to a credit card only status for the service provided in the future.

By signing below, you agree to the terms of this application, and consent to BostonAsapCoach contacting the credit references listed herein. If the application is for a corporate account, the signature must be an officer or authorized representative who is legally able to the bind the company.

E-Signature of Approver

Please note that approver must be an officer or authorized agent legally able to bind the Company.

*By typing your name in the box above and submitting this application electronically, you are authorizing BostonAsapCoach to verify the above information, contact your bank and other trade references, research your credit history including Dunne & Bradstreet inquiry and provide information about our credit experience with you. You are also agreeing to our Payment Terms & Conditions:

Title of Approver