All fields indicated with an * are required. Company Information
*Company
*Street Address
Address (cont.)
*City
*Province/State
*Postal Code
Country
Contact Information
*Contact Name
*Office Phone	Ext:
Office Fax
Mobile Phone
Pager
Home Phone
*E-mail
Job Title
Department
Preferred Methods of Payment Please indicate your preferred method to settle invoices.
	Credit Card
	Direct Payment
	Invoicing
Frequency of Invoicing If you chose invoicing as your payment method, please indicate your preferred frequency of invoicing.
	Daily
	Weekly
	Bi-weekly
	Monthly
Please add any necessary information or instructions that are not included above.
All invoices are to be paid in full within 30 days of invoice date. The contact person is responsible for providing a purchase order number for any demand for service. ALLANTÉ LIMOUSINE reserves the right to terminate a corporate account for justified reasons.