Account Sign Up Form


Vital Account Application Review

Basic Info:

Contact #:
Office #:


Account type:
Business name:
# of employees:
Yrs in business:


Billing type:
CC #:
Card Name:
Tax ID #:
Bank Name:
Account #:
Bank Officer Name:
Officer Phone #:
Officer Email:
Or go back to:

Basic Info:


Business Info:


Billing Type - Invoice:

Billig Type - Credit Card


Agree and Sign:

Terms of Service

Vital Transportation Services, Inc. Account Application


1. Vital Transportation Services, Inc is authorized to verify any and all information listed on this credit application, including the procurement of a credit report from an outside reporting agency.

2. Vital Transportation Services, Inc. reserves the right to extend or deny this credit application based upon customer's present credit position with Vital Transportation Services, Inc.,and it is expressly understood that Vital Transportation Services, Inc. reserves the right as its unrestricted option to alter such credit terms. If customer shall fail to live up to the terms of this or any other contract with Vital Transportation Services, Inc., the latter shall have the unrestricted option, to defer further services until customer defaults have been wholly made good, and/or to declare all outstanding bills of the customer to be (and thereupon the same shall be and become) due and payable forthwith.

3. Customer agrees to pay Vital Transportation Services, Inc. for all transportation services provided by transportation affiliates of Vital Transportation Services, Inc. Such transportation shall be provided to customers, its affiliates, partners, representatives, employees, guests, agents, customers, clients and others who identify themselves as authorized users and Vital Transportation Services, Inc. will bill customer accordingly. Such services are provided by owner operator independent franchises of said affiliates.

4. Customer agrees to pay Vital Transportation Services, Inc. for all charges billed under customer's account number including waiting time and ""no show"" charges and all other charges specified in Vital Transportation Services, Inc.'s Rate Book, as same may be modified from time to time. Customer acknowledges that usage of this account by individuals or voucher numbers can not be policed by Vital Transportation Services, Inc. and that Vital Transportation Services, Inc. has recommended to customer implementation of a No Voucher No Ride account (NVNR) for security reasons.

5. Payments for services rendered are due in full upon receipt of invoice. Failure to remit payments on a timely basis may result in the closure of customer's account. Customer agrees to pay interest at a rate of 1.5% per month (or any portion thereof) for invoices not paid within 30 days from the date thereof. The customer agrees that whenever an attorney is hired by Vital Transportation Services, Inc. to collect any invoices or enforce any obligations of customer under this Agreement,the customer shall pay all of Vital Transportation Services, Inc.'s attorney's fees, costs and expense relating to such collection.

6. The signatory warrants that he/she is authorized to enter into this agreement on behalf of the customer and that the firm listed will assume all financial obligations with regard to Vital Transportation Services, Inc. charges incurred on its account.

7. This agreement is made under and shall be governed by the laws of the State of New York. Any action or proceeding based on or relating to this Agreement shall be maintained and prosecuted only in the Civil Court of the city of New York, the Supreme Court of the State of New York, Kings County, New York of the United States District Court for the Southern District of New York and customer consents to jurisdiction of such courts and agrees that any process or other documents may be served upon it by registered mail, mailed to the customer at the address set forth in the first page hereof.

8. Vital Transportation Services, Inc. shall not be held responsible for any loss or damage arising out of delays occasioned directly or indirectly by Acts of God, or any other emergency or condition beyond the control of Vital Transportation Services, Inc.

9. This Agreement is not assignable or transferable by customer without consent of Vital Transportation Services, Inc. to such assignment or transfer. The face and reverse of this writing constitute the entire Agreement, and no representation, warranties, or conditions shall be valid with respect thereto excepting those specifically herein contained. This Agreement cannot be changed or terminated, and no provision thereof can be waived, except by a writing signed by Vital Transportation Services, Inc. No waiver by either party of any default or breach of any provision hereof shall be deemed a waiver of any subsequent default or breach.

10. Customer agrees to pay all sales, use, excise or similar taxes if any, applicable to the services. In addition, customer agrees to pay an administration fee which is charged and applied on a per trip basis, (service charge).

11. Applicant agrees to be bound by the terms and conditions of this credit application - Corporate Voucher Agreement. Applicant acknowledges that this order will become a binding contract only after the order has been submitted and Vital Transportation Services, Inc. has indicated its acceptance by notice to Applicant of Applicant's account number. No modifications or additions shall be binding upon Vital Transportation Services, Inc. and/or its affiliates unless agreed to in writing.

12. Specifically for those customers who have opted to pay for their account via credit card(s), the following conditions are agreed to: You agree that Vital Transportation Services, Inc. can charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all amounts payable under this Agreement. With respect to such charges the following authorization applies: You authorize automatic and on demand Card Payments or EFT Payments by Vital Transportation Services, Inc. You agree that the charges described above will be billed to the credit or debit card provided by you. You must provide current, complete, and accurate information for your billing account, and promptly update any changes (such as a change in billing address,credit card number, credit card expiration date, bank account number) and contact email address. Changes to such information can be made by calling Vital Transportation Services, Inc. Customer Service. If you fail to provide us with any of the foregoing information, you agree that Vital Transportation Services, Inc. may continue charging you for any service provided under your account. In addition to Administrative fees that you may owe, if we are unable to process your credit or debit card at any time or we otherwise do not receive electronic payment from you by its due date, your account may be immediately suspended and you will remain responsible for all amounts payable by you to us. If we do not receive your payment before your next statement is issued, your account may be terminated due to your default or nonpayment and you will be liable for any collection costs as outlined above. Your card issuer agreement governs use of your credit or debit card payment in connection with this Service and you must refer to that agreement with respect to your rights and liabilities as a cardholder. If we do not receive payment from your credit or debit card issuer or its agent, you agree to pay us all amounts due upon demand by us. You agree that Vital Transportation Services, Inc. will not be responsible for any expenses that you may incur resulting from overdrawing your bank account or exceeding your credit limit as a result of an automatic charge made under this Agreement.