Maryland Air

Please complete the following form all fields are required.

Invoice To:

Email Address

Business Name

Address

City, State, Zip

Telephone and Fax

Person Authorized to Sign for Maryland Air Services

Accounts Payable Contact

Accounts Payable Phone Number

Bank References:

Bank

Bank Phone Number

Bank Address

City, State, Zip

Account Number

Account Office

Trade References:

1. Business Name

Address

City, State, Zip

Account Number

Contact Name

Phone Number

2. Business Name

Address

City, State, Zip

Account Number

Contact Name

Phone Number

By Submitting this form:

I hereby certify that all the information provided on this application is accurate and understand that my signature authorizes Maryland Airlines/ACE to establish my eligibility for credit. In the consideration of the granting of credit on this account by Maryland Airlines/ACE, I promise to pay for any purchases make on this account within thirty (30) days from the billing date. If the account is not paid in full at the end of thirty days, I agree to pay interest charges of 1.5% per month on the unpaid balance plus any reasonable legal cost for collection and do hereby grant Maryland Airline/ACE an express lien on the aircraft serviced to secure the amount of charges, if any.