GlobalGround Transport
Corporate Account Application
Company Information
Company Name
Street Address
City
Country
Type of Business
Suite
State/Province
Zip
Primary Contact
Contact Name
Phone 1
Email
Phone 2
Secondary Contact
Confirmation Method
Preferred Method
Bill Services to
Bill via Trip Planner
Primary Billing Contact
Secondary Billing Contact
Int'l Trip Planner (if applicable)
Name
Team/Account Manager
Phone
Credit Card
Bill Credit Card
Card Type
Card Number
Exp Date
Security Code
Billing Address