CORPORATE CHARGE ACCOUNT CREDIT APPLICATION Company Name: ___________________________________________________________ Telephone: (_____)______-__________ Fax: (_____)______-______________ Address _________________________________________________________________ City _____________________________ State, Zip: _______________________ Billing Address (if different) __________________________________________ Department or Attention of ______________________________________________ Person opening account ______________________ Title _____________________ Nature of Business ______________________ How long in Business __________ How long at this address ________ If less than 5 years, previous address: _________________________________________________________________________ ( )Corporation ( )Partnership ( )Sole Proprietorship Social Security Number if Sole Proprietorship ________-_______-__________ Corporate Officers or Partners __________________________________________ Person responsible for paying/approving this account_____________________ REFERENCES Bank __________________________________________ Account#_________________ Contact______________________________________ Phone:_________________ Credit Reference_______________________________ Account#_________________ Contact______________________________________ Phone:_________________ Credit Reference_______________________________ Account#_________________ Contact______________________________________ Phone:_________________ Someone from our company will contact you about your credit application within 3 to 5 business days. We do not re-sell nor market this information to anyone. This is used solely for the purpose of evaluating your credit application and it's privacy is respected. That is one reason why we ask you to mail this to us: Yellow Cab of Newport News 15423 Warwick Blvd #B Newport News, Virginia 23608 or fax to: (757) 726 - 0034.