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Registration Details
Government Entity Account Holder:
Address:
Address:
City, Postal Code:
Country, Phone:
Yes
Is above also billing address:
No (Provide on a separate sheet)
Billing Details
Billing Preference:
Email
Fax
Mail
File Transfer (Custom)
Name, Email Address/Fax:
Payment Contact
Name, Phone/Fax:
Aircraft Details
*Required
Fields
Type*
Tail Number*
Registration
Number
Unit Number
Number of
Cards
Home Base:
Name or ICAO
Aircraft 1
Aircraft 2
Aircraft 3
Aircraft 4
Aircraft 5
Aircraft 6
Any Aircraft
Any
List additional aircraft if needed separately.
Mailing Address for Cards / Physical Address for Overnight Service
Office / Name / Title / Rank:
Address:
Address:
City, Postal Code:
Country, Phone:
Account Holder and aircraft usage is governed the Account Holder Application Agreement (Terms & Conditions).
Contact Multi Service Aero at +1-913-217-9303 or through www.multiserviceaero.com
Multi Service Aero Card Government Account Holder Registration Details
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PAYMENT TERMS
Government Credit Terms – Net 30 Days
You will be provided with daily, weekly, or other agreed to billing cycle of invoices; your payment is due in full within
30 days of the billing invoice date, unless other government terms apply. Invoices outstanding more than 30 days are
considered delinquent. If your Bank/Payment Office should fail to honour payment to MSC, you agree to pay our returned
funds fee of $50.00 or the maximum amount allowed by law. In addition, if your payment is dishonoured or your account
becomes delinquent, MSC may charge 18% per annum (compounded monthly) or other late fee as allowable by law
governing the account holder entity. MSC may require immediate and full payment of all outstanding amounts, as well as the
closure of your MSC Aero Card account. In addition, MSC is entitled to offset any amounts it may owe you against any claims
it has against you.
(a) Payment for aviation fuels, related services, fees, and of all other charges due to MSC shall be made in full
(without any abatement, deduction, set-off or counter claim whatsoever) in cleared funds in U.S. Dollars or other
agreed upon currency and the payment shall be due on the stated due date as appearing on the invoice billing
statement and shall be made by means of EFT (ACH), bank wire, or check quoting the invoice number and the
Account Holder’s name to Multi Service Corporation. Details regarding account, routing numbers or addresses for
EFT (ACH), bank wires, or over night express of checks are included on the billing invoice statement.
If method is check delivery, checks will be either by mail or express mail with accompanying invoice details. If due
date is a non-business day and banks are closed, the payment is due the first business day before the due date.
APPLICABLE LAW
This Agreement shall be governed by, interpreted and construed in accordance with the laws of the State of Missouri
as governed by the state court system of Missouri, United States. Any disputes in connection with this Agreement or the
Terms of Sale shall be resolved in accordance with the laws of the state of Missouri, United States.
I certify that I am authorized to enter and bind the above company into this Agreement, to be executed on the day and year
first written above.
SIGNED for and on behalf of
)
_______________________________ [Account Holder – Government Entity Name]
_______________________________ [Authorized Applicant – Individual Name]
Name:
Job Title:
Date:
Revised November 2010
Multi Service Aero Card Government Account Holder Application Agreement
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Government Account Holder Application Agreement
THIS AGREEMENT effective from November 1, 2010 and beyond is between Multi Service Corporation (MSC), a company
registered and existing under the laws of the state of Missouri, United States at 8650 College Boulevard, Overland Park, KS,
66210 and the government entity as listed on the registration form.
Instant Acceptance at More Merchants Worldwide
Designed specifically for aviation fuel and aviation related products, the Multi Service Corporation (MSC) branded Multi
Service Aero Card program is accepted at designated Fixed Base Operators (FBOs) or other service providers to pay for agreed
upon fuel and all other authorized fuel related services. Fuel, product and service availability is dependent upon the individual
merchant.
Usage of the Multi Service Aero Card by the account holder or authorized representative indicates acceptance of the
terms and conditions outlined, which may be amended in writing, and constitutes the entire agreement. This includes the
retention or use of the card by the account holder or anyone under his control. The entity agrees to be responsible for
unauthorized use of the card prior to the cardholder notifying MSC. Transactions which occur prior to the time of the card being
reported as lost or stolen will continue to be processed by MSC and are the responsibility of the account holder.
In the event of cardholder breach or default under the terms of this agreement, the cardholder acknowledges and
agrees, MSC may invoke any and all collection procedures allowed by applicable law. The account holder could be liable to
MSC for costs and expenses, including late charges and reasonable attorney fees, or other costs incurred by MSC as specified
in the applicable statutes. The cardholder agrees to notify the Multi Service Aero Support Team immediately when any Multi
Service Aero Card, card number, or web account login and passwords in their possession are either lost or transferred to another
person or activity.
ACCOUNT HOLDER AGREES TO:
1.
Notify MSC immediately at +1-913-217-9303 if card, account numbers, or web access has been compromised.
Aero Cards are property of MSC and may be requested for return at any time.
2.
Notify MSC immediately when there are any disputes regarding tax issues or exemption thereof between the
deliverer of fuel or services and the Account Holder. MSC records the issue and forwards information to the
merchant for review and potential resolution. MSC is not a party to these issues and has no legal authority to
resolve disputes between the Account Holder and merchant.
3.
Notify MSC immediately when there are any disputes regarding fuel, non-fuel, ancillary service, or other fees
are between the supplier of product / service (originator of handling or any other related charges) and the
Account Holder. MSC records the issue and forwards information to the merchant for review and potential
resolution. MSC is not a party to these issues and has no legal authority to resolve disputes between the
Account Holder and merchant.
4.
Disclose and inform MSC of any specific government forms, terms or conditions that are applicable in doing
business with the entity listed. Provide forms or other additional materials needed for Multi Service Corporation,
as a vendor, would need to complete.
5.
There exists a limit of liability. Neither the Account Holder or MSC shall be liable to the other party under this
MSC Government Account Holder Agreement and all related documents for any indirect or consequential loss
or damage (including loss of profits, business, anticipated savings, revenue or goodwill) suffered by the other
party whether such loss is caused by that party’s breach of its contractual obligation or by any tortuous act or
omission (including negligence) or any other way.
6.
Please note that MSC furnishes only access to the Aero network and its billing and payment program. We
neither sell nor warrant the services or goods obtained from the fueling or aviation merchants. As such, you
agree to indemnify and hold MSC, its directors, officers, employees, agents, subsidiaries and affiliates,
harmless from and against all claims, demands, proceedings, damages and liabilities for loss of or damage to
any property whatsoever or for injury to any persons whatsoever and against all associated costs (including legal
costs) and expenses that arise out of or are connected with any and all activities in connection with your receipt or
use of services or goods contemplated herein or any contractual obligations MSC may have consistent with the scope of
this indemnity to fuel vendors
7.
This agreement may be amended from time to time by MSC and will become effective upon thirty (30) days written notice
from MSC to Account Holder.
Multi Service Aero Card Government Account Holder Application Agreement
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