Online Application You must have JavaScript enabled to use this form. Company Information Full reg. business name Full trading name Registration number VAT number Date established Fax number Telephone number Financial year end Company Address Physical Address Postal address Nature of business Business type Sole trader Partnership Closed Corporation Private Co Public Co Other (please specify) Enter other… Landlords name (if applicable) Landlords phone number Premises Leased Owned CUSTOMER BANKING DETAILS Account name Bank name Account Number Branch name Branch code Date opened ACCOUNTS DEPARTMENT CONTACT DETAILS Contact person Telephone number Email address FLEET / OPERATIONS CONTACT DETAILS Name Telephone number Email address TRADE REFERENCES TRADE REFERENCES Creditor Contact Person Tel. No. Estimated monthly purchases Creditor Creditor Contact Person Contact Person Tel. No. Tel. No. Estimated monthly purchases Estimated monthly purchases Add DIRECTORS / OWNERS/ MEMBERS/ PARTNERS DIRECTORS / OWNERS/ MEMBERS/ PARTNERS Full Names ID Numbers Full Names ID Numbers Add COMPREHENSIVE VEHICLE INSURANCE COMPREHENSIVE VEHICLE INSURANCE Please indicate your choice by selecting the required option in each of the 3 categories below Full Maintenance Lease Vehicles Elite Insurance required Client will arrange own cover Short Term Rental Vehicles Elite Insurance required Client will arrange own cover Relief Vehicles Elite Insurance required Client will arrange own cover CREDIT LIMIT REQUIRED Applicable to Ad hoc Vehicle Rental R Applicable to Full Maintenance Rental R Form T&Cs I the undersigned: Hereby irrevocably authorise Elite to make use of the information contained herein and to obtain any information it may deem necessary as regards to the Customer’s trade accounts with suppliers, banks and/or any other information that may relate to a credit evaluation; Warrant that the information supplied herein is true and correct in every respect and certify that I am duly authorised to sign this application; Agree to immediately inform Elite in writing of any changes to the above information; and Acknowledge and agree that should Elite elect, in its sole and absolute discretion, to grant a credit facility pursuant to this application, the Master Full Maintenance Rental Agreement attached hereto shall govern the relationship between Elite and the Customer and shall be binding on both of them. Signature Section Customer Signature Please sign above Capacity Date Supporting Docs Supporting Docs Text In support of this application kindly supply the following documentation: Latest Audited financial statements VAT registration certificate Proof of Customer’s banking details Copy of ID of Directors / Members / Partners Signed Resolution empowering the signatory to sign this application and conclude a Rental Agreement on behalf of the Customer In the event that the Customers chooses to arrange their own Comprehensive Vehicle Insurance cover, kindly provide an Insurance confirmation letter from your insurance broker. Supporting Documents Upload Maximum 10 files.10 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Submit Application Form