Corporate Account Application

• Metro Taxi is the most technologically-advanced, reliable, full-service taxi company in Connecticut.
  
  
• Metro Taxi's same-digit phone numbers make it easy for customers to contact us whenever they need transportation: 24 hours a day, 7 days a week.
  
  
• Metro Taxi's vehicles are clean, well-maintained four-door sedans and minivans.
  
  
• Metro Taxi's computer dispatch system uses GPS tracking, minimizing the time clients wait for a cab.
  
  
• Metro Taxi's expanded customer service department is equipped with a state-of-the-art telecommunications system to enhance communication between customers, service representatives and drivers.
  
  
• Metro Taxi routinely checks weather and traffic conditions to advise our drivers of the safest and most direct routes.

Please fill out this secure form to apply for a new corporate account.

CUSTOMER INFORMATION
Customer/Company Name:
Customer/Company Address:
City / State / Zip:
Phone Number:	(Phone Number)
Fax Number:	(Phone Number)
Contact Name For Payment:
Email Address:	(E-mail)
Please indicate personnel authorized to charge to this account:
Would you like a tip included?	Yes, please include a tip. If yes, please check this box and specify the tip amount below. If no, please leave this checkbox empty and skip to the billing information.
Tip Amount:	Select an option... 10% 15% 20% Other No Tip
If you wish to leave an amount other than the amounts listed above, please specify here:
BILLING INFORMATION (if different than above)
Address:
City /  State / Zip:
Phone Number:
Fax Number:
ADDITIONAL INFORMATION
Type of Business:	Select an option... Corporation Partnership Individual
Federal ID Number or Social Security Number:
Years In Business:
Previous Address (if less than 2 years):
BANK INFORMATION
Bank Name
Address:
City / State / Zip:
Account Number:
Bank Officer to Contact:
Phone Number:	(Phone Number)
Fax Number:	(Phone Number)
CREDIT REFERENCE #1:
Company Name:
Address:
City / State / Zip:
Account Number:
Phone Number:	(Phone Number)
Fax Number:	(Phone Number)
Average Payment History:	Select an option... 30 days 60 days 90 days Other
CREDIT REFERENCE #2:
Company Name:
Address:
City / State / Zip:
Account Number:
Phone Number:	(Phone Number)
Fax Number:	(Phone Number)
Average Payment History:	Select an option... 30 days 60 days 90 days Other
CREDIT REFERENCE #3:
Company Name:
Address:
City / State / Zip:
Account Number:
Phone Number:	(Phone Number)
Fax Number:	(Phone Number)
Average Payment History:	Select an option... 30 days 60 days 90 days Other
TERMS:
Agreement:	By checking this box, I agree that I have read, understand, and agree to comply with the terms and conditions set forth by Metro Taxi. I also understand that checking this box acts as my digital signature on this application.
Security Code:	Type the characters you see in the picture below.

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