Corporate Account Application

Corporate Account Application Form

Please complete all sections below. Our accounts team will review your application and respond within 2 business days.

Section 1

Company Details

Company Name*

Trading Name

Company Registration Number

VAT Number

Company Address*

Postcode*

Website

Main Telephone Number*

Section 2

Main Contact

Full Name*

Job Title

Email Address*

Mobile Number*

Office Number

Section 3

Accounts / Finance Contact

Full Name

Email Address

Phone Number

Purchase Order Required?

YesNo

Invoice Email Address

Section 4

Service Requirements

Type of Service Required

Estimated Monthly Usage

Number of Employees / Users

Required Start Date

Main Pickup Locations

Common Destinations

Section 5

Billing Details

Billing Address

Payment Method

Preferred Invoice Frequency

Credit Limit Requested

Payment Terms Requested

Section 6

Authorised Users

User 1

Full Name

Phone

Department

Booking Permission Level

Section 7

Trade References

Trade Reference 1

Company Name

Contact Name

Phone

Trade Reference 2

Company Name

Contact Name

Phone

Section 8

Agreement

I confirm that the information provided in this application is accurate and complete.I agree to the Grays CabLine Corporate Terms of Service.I agree that Grays CabLine may perform credit checks as part of the account review process.I understand that account approval is subject to review and is not guaranteed.

Section 9

Signature

Full Name*

Position / Title

Date

Digital Signature — type your full name to sign*

By submitting this form you confirm that all information is correct and agree to Grays CabLine's corporate terms.