Corporate Account Application Form

Please complete the information below to apply for a Corporate Account. The details will be appointed to a dedicated Account manager, who will be in contact with your shortly and provide you with further tools to, check rates, make bookings and track account details.

COMPANY INFORMATION
Company Name:
Trading Name:
Company Address:
Suburb/City:
State:
Post Code:

Postal Address (if different):
Suburb/City:
State:
Post Code:
Website:
ABN:

CONTACT INFORMATION
Title:
First Name:
Surname:
Business Telephone:
Mobile:
Facsimile:
Email Address:
Job Title:

OTHER INFORMATION
Number of travelling employees:


Average cars needed per month:


Number of company owned vehicles:


Type of Vehicles Used:
Small Hatchbacks Large Sedans SUV/Wagon Minivan Ute Truck

Preferred method of monthly payment:

Please enter the CAPTCHA CODE in the box below before you hit the "Send Application" button.

Corporate Account Application Form

COMPANY INFORMATION

CONTACT INFORMATION

OTHER INFORMATION