Corporate Account Application

Any Questions About 303 Taxi Corporate Accounts?
Call Tony Fuller at: 872-829-4601

Corporate Application

UNITED DISPATCH
9696 W Foster Ave
Chicago, IL 60656
872-829-4601
[email protected]

Voucherless Accounts

Voucherless accounts require a password and or ID#.

Password

Gratuity

Yes

How Much?

No:

Company Info

Company(Required)

Division

Address(Required)

Main Contact(Required)

Phone(Required)

Email(Required)

Accounts Payments Contact(Required)

Phone(Required)

Email(Required)

Payment Info

Payment Type(Required)

ACH *No fee

CHECK *No, W9 will be sent after submitting the application

CREDIT CARD 5% Processing Fee

* There will be a 5% fee added to the invoice for voucherless accounts and 7% for paper vouchers*

Voucher Accounts
If you need copies, vouchers are only provided within 2 months of the Invoice date.

Bank References

Bank Name

Address

Contact Name

Phone

Bank Name

Address

Contact Name

Phone

I certify that the above information is correct. This information is to be used m for opening an account: The customer agrees to pay ALL invoices within 30 days from the date of the invoices, & to pay a 2% per month on ALL overdue balances.

• Account will be held liable for ANY changes made to the billing address/contact.
If failed to update, United Dispatch is not responsible for past due invoices.

• No Show charge will be charged for fare after 10 minutes for reservations, and 5 minutes for on demand.

Signature(Required)

Thank You for using our service!!

Email

This field is for validation purposes and should be left unchanged.