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:
0-10
11-20
21-50
50+

Average cars needed per month:
1-3
4-6
5-9
10+

Number of company owned vehicles:
1-5
6-10
11-20
20+

Type of Vehicles Used:
Small Hatchbacks:YES NO
Large Sedans:YES NO
SUV's / Wagons:YES NO
Minivan's:YES NO
Ute's:YES NO
Trucks:YES NO

Preferred method of monthly payment:

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