Finance Travel Account Application

FINANCE TRAVEL ACCOUNT APPLICATION

Use this form to apply for a corporate travel account or travel charge card for business travel expenses. The applicant certifies that all information provided is true and authorizes the provider to obtain credit and banking information necessary to evaluate this application.

1. Applicant Identification

Corporation Partnership Sole Proprietorship Non‑Profit Individual

2. Address and Contact Information

3. Account Requested

Account Type: Corporate Travel Account Individual Travel Card Virtual Account

4. Authorized Cardholders

List individuals to be issued cards or travel credentials. The applicant authorizes charges by these cardholders and accepts responsibility for all charges as provided below.

5. Bank and Trade References

6. Account Services and Controls

Available services (check to request):

Electronic Statements Virtual Card Numbers Expense Management Integration

Controls requested:

Per-transaction limits Merchant category blocking Geofencing / travel-region controls

7. Financial Disclosure and Estimates

8. Terms, Certification and Authorization

By signing below, the applicant certifies under penalty of perjury that the information furnished in this application is true, correct and complete. Applicant authorizes the account provider and its agents to obtain and verify credit reports, banking references and trade references for the purposes of account approval and ongoing account reviews. Applicant authorizes the release of information to third parties as required for account administration and collections.

The applicant agrees to be bound by the provider's account terms and conditions when an account is issued. Applicant acknowledges that the account may be corporate liability (company liable) or individually liable depending on the account type selected and any required guaranty. Applicant agrees to pay all charges when due and to be responsible for interest, fees and collection costs as specified in the account agreement.

Applicant further certifies that it will maintain adequate internal controls to prevent misuse of cards and will promptly report lost, stolen or compromised credentials. Applicant acknowledges that the provider may suspend or close accounts for suspected fraud, non‑compliance with travel policy, or delinquency in payment.

I authorize the provider to obtain consumer and/or commercial credit reports and banking information as part of the application review process.

Applicant acknowledges that the provider may require a personal guarantee and that an authorized representative will sign a separate guaranty document if requested.

9. Certifications — Authorized Signer

The undersigned represents and warrants that they are duly authorized to execute this application on behalf of the applicant named above and that acceptance of this application by the provider shall constitute a binding agreement subject to the provider's standard account terms and conditions.

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