15 STARS LIMOUSINE SERVICE

973-553-2780

"Ride In Luxury For Less"

ACCOUNTS

Our accounts help us establish a solid relationship with our clients through our customized services and allow us to serve them better.

PERSONAL ACCOUNT REGISTRATION

Personal Information
Name:		E-mail:
Phone#:		Fax #:
Address:		City:
State:		Zip Code:

Billing Information
Credit Card #:		Name on the Card:
Expiration Date:		Card Type:
Billing Address:		City:
State:		Zip Code:

Yes, I have read and agree with 15STARSLIMO.COM terms and conditions.

CORPORATE ACCOUNT REGISTRATION

Company Name:		Company E-mail:
Phone #:		Fax #:
Address:		City:
State:		Zip Code:
Federal Tax #:		State of Corporation:
President:		Office Manager:

Billing Information:
Credit Card #:		Name on Card:
Expiration Date:		Card Type:
Billing Address:		City:
State:		Zip Code:

People Authorized to use this Account:
1. Name:		Phone #:
2. Name:		Phone #:
3. Name:		Phone #:

Yes, I have read and agree with 15STARSLIMO.COM terms and conditions.

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