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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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