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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