1st Lady Chauffeur Service

ACCEPTANCE FORM FOR BUSINESS ACCOUNTS

Company Details

Company Name:

Register Address:

City:

Postcode:

Telephone:

Email Address:

Company Registration Number:

Number of Years Trading:

Principal Contact for Correspondence:

Invoice Details (If different from the above)

Address:

City:

Postcode:

Telephone:

Email Address:

Principal Contact for Correspondence:

Authorised User's

Authorised User 1
Name:

Surname:

Position:

Telephone:

Email:


Authorised User 2
Name:

Surname:

Position:

Telephone:

Email:

Payment Options

I/ We wish to settle monthly invoices by my/our credit/debit card.
Yes

I/ We wish to settle monthly invoices by payment from my/our bank account.
Yes

Please provide details of two companies you have been trading with more than one year.

Trade References

Reference 1
Company:

Address:

Contact:

Position:

Telephone:

Reference 2
Company:

Address:

Contact:

Position:

Telephone:

Please upload a company document bearing your name and address i.e company letterhead

I/We agree to be bound by the Terms & Conditions as proposed by 1st Lady Chauffeur Services on this website.*

Please Sign

Signature:

Print Name:

Position:

Date:

Please complete all sections of the application form with authorised signatory and press the submit button, you will receive confirmation of your account within 48 hours.

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