City Taxi 24/7

Online Account Application
* Applicant Name:
* Company Name:
* Address:
* City:
* Province:
* Postal Code:
Mailing Address: (if different from above)
* Phone:
* Fax:
* Contact Person(s):
* Title(s):

If applicable, please list other branches to be served by this account (name, address, phone number, etc):


Name of your Bank:
Branch Name/Location:
Account Number:
Transit Number:

How long your company is in business? (years / months )
Approximate monthly taxi voume $:

Please provide three credit references of companies which are presently dealing with:
Company 1 Name:
Company 1 Address:
Company 1 Phone Number:

Company 2 Name:
Company 2 Address:
Company 2 Phone Number:

Company 3 Name:
Company 3 Address:
Company 3 Phone Number:

TERMS: Payable Upon Receipt 2.5% Per Month Charged On Overdue Accounts 5% Administration Fee Added Per Month Account Holder is responsible for completing information on Charge Slip Account Holder is responsible for safe guarding charge slips against fraud, theft or any other misuse By submiting the form, the applicant agrees upon all terms and certifies that all above information is true and accurate, and authorizes City Taxi to varify references and check credit.