BUSINESS ACCOUNT CREDIT APPLICATION

If you prefer to mail your application, click here to open pdf application, pring and mail to the address below.

Please print, sign and mail the Credit Card Authorization form to the address below.

Edge Auto, Inc.
333 10th Avenue
New York City, NY 10001
P: 212 947 3343
F: 212 947 3364
info@edgeautorental.com


* Please include area code for all phone numbers.

BUSINESS CONTACT INFORMATION

Title:
Company Name:
Phone:
Fax:
E-mail:

Registered company address:
Address:

City:
State:
Zip:
Tax Exempt:	Yes No
	- If yes, please email certificate.
Company Type:	Sole proprietorship Partnership Corporation Other:

BUSINESS AND CREDIT CARD INFORMATION

Primary company address:
Address:

City:
State:
Zip:

Company Tax ID or S.S.#:
Phone:
Fax:
E-mail:

Credit Card Bank Name:
Credit Card #:
Name as it appears on Card:
Exp Date:	mm/yy
Card ID #:

AGREEMENT

All invoices are to be paid 20 days from the date of the invoice or Credit Card will be charged. Claims arising from invoices must be made within seven working days. By signing the Card Holder acknowledges the above information to be true. By submitting this application, you authorize Edge Auto, Inc. to charge your credit card for invoices not paid within 20 days. Charges could include: Rentals, Damages, Loss of Use, Tax, and Fuel. Include copy of credit card, front and back.

I agree with the terms listed above.