EmailMe Form - Company Information

Company Name *

ABN Number *

Managing Director *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Main Contact *

Contact Email *

Main Contact Phone number including area code *

Accounts Contact *

Accounts Email *

Accounts Phone number including area code *

Name on card *

First Last

Corporate credit card type *

Credit Card *

File Upload *

Privacy Policy

Checkbox *

ACCEPT “I/We (Client/Company Authority) consent to Spencer Travel Pty Ltd (Agent) using any personal information supplied by me/us/company authority for the purposes of making and completing airline bookings and travel related arrangements.

This Credit Card Authority is a standing Authority and will apply in respect of all transactions between THE AGENT and the Card Holder from the date of this authority until the authority is revoked by notice in writing by the Card Holder to THE AGENT

The Card Holder utilizes the services of SPENCER GROUP OF COMPANIES PTY LTD (‘THE AGENT’) on a continuous basis for the Card Holders travel requirements.

In order to facilitate payment for travel arrangements between the Card Holder and THE AGENT, the Card Holder confirms that all orders placed with THE AGENT are to be charged to the Card Holders credit card or cards circled below. If more than one cr

THE AGENT reserves the right to obtain proof of identification in the form of a copy of a signed drivers license, passport or photo ID to verify identity of the Card Holder.

PRIVACY STATEMENT - “I/We acknowledge that I/we will provide Spencer Travel Pty Ltd (‘THE AGENT’) from time to time with information about myself / ourselves of a personal nature (personal Information”).

“I/We/Company Authority acknowledge that I/we/company authority will provide Spencer Travel Pty Ltd (the Agent) from time
to time with information about myself / ourselves / company of a personal nature (personal Information”).

Signature *

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