“Serving NY -NJ - CT for over 30 years”
TOLL FREE: 1.800.439.9598
TEL: 1.718.384.4444
FAX: 1.718.486.8417
LIC#: BO1312

CORPORATE ACCOUNT AGREEMENTS

BRD has been serving the corporate market within the Tri-State area for over 30 years.

Apply for a corporate account today, and let us provide you with an efficient and specialized travel experience with our corporate benefits.
Name of Firm:
Address:
State:
City:
ZIP code:
Telephone:
Bill attention to:
Contact Person:
Voucher Required:
  Yes
  No
VIP Required:
  Yes
  No
(If yes please attach list of names on your letterhead)
Owners:
Date Established:
Federal ID:
Type of business:
  Individual Ownership
  Partnership
  Corporation
Kind of business:
Local Bank & Address:
Account No.:
Phone:
Acct. Branch:
References:
Name:
Address:
City / State / ZIP:
Phone:
Name:
Address:
City / State / ZIP:
Phone:
Payment Options (check one or more):
  By Check
  Credit Card
Please charge monthly to my corporate credit card or my credit card as below.
  VISA
  Mastercard
  Discover
  American Express
Name on Card:
Expiration Date:
Card Nr.:
The above agrees to the official BROOKLYN RADIO DISPATCHER INC. Rate book and its billing policies. Our terms: Net 30 days. Late charges of 1.5% per month. Authorization given to BROOKLYN RADIO DISPATCHER INC. to obtain such information and verify above data. In addition to filling out this form, firm or corporation must submit a letterhead applying for credit voucher charge, and also indicate the list of names of authorized personnel.
The above firm assumes all financial obligations with regard to charges incurred by authorized personnel.

BROOKLYN RADIO DISPATCHER INC. reserves the right to refuse service to firm who are arrears.

 Agree