Corporate Account Application

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Credit & Accounts Information

Monthly Credit Required*

Monthly credit is subject to approval and at manager's discretion

Accounts Department Contact Details

Please supply details of the person/department responsible for making the payments on the invoices from Thurrock Taxis

Phone*

Position*

Email address*

Bank Details

Please supply the bank details to enable account credits

Bank Name*

Bank Account Number *

Bank Address*

Bank Sort Code*

Details of People authorised to make bookings

Please provide details of colleagues/staff authorised to make online or phone bookings for clients on company's behalf.

Phone*

Position*

Email address*

Phone*

Position*

Email address*

Do you want to add more staff to booking section?*

Yes

Phone*

Position*

Email address*

Payment Terms

ALL PAYMENTS MUST BE MADE WITHIN 10 DAYS OF INVOICE*

I / we wish to settle monthly invoices by company credit / debit card

I / we wish to settle monthly invoices by online bank transfer (bank details on request)

Thurrock Taxi Bank Details for Bank Transfers

Please note our bank details below. You will need these in order to settle the invoices from Thurrock Taxi through BACS transfer

Bank Name: Lloyds Bank

Bank Account Number: 89430260

Bank Sort Code: 30-98-97

Please supply valid credit/debit card details for the payments

Name on Card*

Valid From (MM/YY)*

CVV Code*

3 digits at the back of the card. May be Different for AMEX

Credit/Debit Card Number*

Expiry Date (MM/YY)*

Card Registered Post Code*

Card Registered Address*

I confirm that the card details provided here are correct and by printing card holder's name in the box below, I authorise Thurrock Taxis to charge this card for services provided to us. I hereby authorise Thurrock Taxis, until further notice, to charge my credit / debit card account with unspecified amounts on or after the 15th day of each month in respect of Taxi Hire Services. I will advise you in writing if the card becomes lost, stolen or if I close my card account or my card expires. All accounts are subject to a 10% service and administration charge.

PRINT NAME (used as signature)*

Date*

Reference 1

Name of person/Company*

Address Line 2

Phone Number (including area code)*

Address Line 1*

Email address*

Reference 2

Name of person/Company*

Address Line 2

Phone Number (including area code)*

Address Line 1*

Email address*

Details

Please provide any other details relevant to your corporate account application otherwise not covered in this form.

Print Name*

Job Title/Position*

Signature ( Type Full Name)*

Date of Submission

Customer Declaration*

I/we hereby confirm that I/we have read the terms and conditions. I/we accept that your payment terms are 10 days net and hereby apply for a credit account. I/we also confirm that I/we are authorised to make this application All accounts are subject to a 10% service and administration charge. I/we apply for credit facilities and agree to the terms and conditions

This field should be left blank

Company Information

Credit & Accounts Information

Accounts Department Contact Details

Bank Details

Details of People authorised to make bookings

Payment Terms

Thurrock Taxi Bank Details for Bank Transfers

Please supply valid credit/debit card details for the payments

Reference 1

Reference 2

Details