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Corporate travel with a personal touch Strictly Private & Confidential (Please email to [email protected] or fax to 01706 260033) Crawshaw House, Burnley Road, Crawshawbooth, Lancashire, BB4 8AJ Tel: 01706 260000 (Leisure Travel) 01706 260044 (Business Travel) Fax 01706 260033 Email: [email protected] VAT No. 371 0177 76 Company Account Request Form Company name : Company address : Company registration no : Parent company name and address if different : Company registration no : Tel No : Fax No : Accounts department contact : Do you provide adequate travel insurance cover for your travellers ? Anticipated annual spend : Any special requirements : Bank Name : Branch : Account no : Sort code : Trade references : 1) 2) This form should be signed by a company director/secretary. Please return the original Sign : Date : Print name(caps) ___________________________________________________________________ Invoices are due for payment 30 days from the date of invoice issue. Colletts Travel VAT registration number 371017776

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Corporate travel with a personal touch

Strictly Private & Confidential (Please email to [email protected] or fax to 01706 260033)

Crawshaw House, Burnley Road, Crawshawbooth, Lancashire, BB4 8AJ Tel: 01706 260000 (Leisure Travel) 01706 260044 (Business Travel)

Fax 01706 260033 Email: [email protected] VAT No. 371 0177 76

Company Account Request Form Company name :

Company address :

Company registration no :

Parent company name and address if different :

Company registration no :

Tel No : Fax No :

Accounts department contact :

Do you provide adequate travel insurance cover for your travellers ?

Anticipated annual spend :

Any special requirements :

Bank Name : Branch :

Account no : Sort code :

Trade references : 1)

2)

This form should be signed by a company director/secretary. Please return the original Sign : Date :

Print name(caps) ___________________________________________________________________

Invoices are due for payment 30 days from the date of invoice issue.

Colletts Travel VAT registration number 371017776