Account Application

ACCOUNT APPLICATION FORM

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COMPANY NAME*:

CREDIT AMOUNT*:

BUSINESS ADDRESS*:

TELEPHONE*:

FAX*:

EMAIL*:

INVOICE ADDRESS*:

Persons authorised to make booking

WHO IS AUTHORISED TO BOOK MINI-CAB FROM YOUR OFFICE?*:

POSITION*:

DIRECT TELEPHONE / EXTENSION*:

CAN ANYONE ELSE BOOK A MINI-CAB FROM YOUR OFFICE?*:

Persons responsible for settlement of account

NAME:

POSITION*:

DIRECT TELEPHONE / EXTENSION*:

person completing this form

NAME*:

POSITION*:

Date*:

By completing and submitting this form you agree to be bound by our account opening terms and conditions. Terms strictly nett and account to be settled on or before the 20th of the month following the date of invoice.

I apply for a car hire account on behalf of the above company.