BUSINESS & CORPORATE CREDIT CARD    Download & Print Printer Friendly Version

Prefered Branch:

1. COMPANY INFORMATION
BUSINESS NAME*
 
MAILING ADDRESS*
 
BUSINESS TELEPHONE*
 
BUSINESS FAX
 
REGISTERED OFFICE ADDRESS (IF DIFFERENT)
TYPE OF BUSINESS*
 
BUSINESS TRN*
 

2. CARD DETAILS
NUMBER OF CARDS BEING REQUESTED*
 
NAME OF CARD CO-ORDINATOR(S)*
 
EMAIL OF CARD CO-ORDINATOR*
 
COMPANY OFFICIAL TO RECEIVE STATEMENTS*
 
ADDRESS*
 
EMAIL ADDRESS*
 
COMPANY OFFICIAL TO RECEIVE MANAGEMENT REPORTS*
 
ADDRESS*
 
EMAIL ADDRESS*
 
COMPANY/BUSINESS NAME TO BE EMBOSSED ON CARD*
 

3. NAME(S) IN WHICH CARD(S) ARE TO BE ISSUED
1.* $
Name  TitleIndividual limit 
2. $
NameTitleIndividual limit 
3. $
NameTitleIndividual limit 
4. $
NameTitleIndividual limit 
5. $
NameTitleIndividual limit 
TOTAL LIMIT BEING REQUESTED $

4. BANKER'S DETAILS

MAIN BANKER'S NAME
MAIN BANKER'S ADDRESS
 
TYPE OF ACCOUNT AT BANK   ACCOUNT NUMBER

5. PAYMENT INSTRUCTIONS
I/We instruct First Global Bank Limited to debit my/our account numbered
at your  branch for (please ( √ ) tick)
Full amount due
Minimum payment due
Fixed amount of $  on or before the Payment Due Date shown on each Monthly Billing Statement.
OTHER INSTRUCTIONS

 

 
AUTHORIZED SIGNATURE

 

 
AUTHORIZED SIGNATURE

6. BOARD RESOLUTION
At a meeting of the Board of Directors of  held on
(Company Name)
It was resovled that:
 A) First Global Bank Limited be and is hereby authorised and/or requested to:
 B) Open a business credit card account in the name of the Company;
 C) Make any queries deemed necessary in connection with this request; and
 D) At its discretion issues a business/corporate credit card on the Company's account to any individual nominated in a request signed by the person(s) holding the position(s) listed below.
DETAILS OF PERSON(S) AUTHORISED TO NOMINATE CARDHOLDERS
BUSINESS TITLE
NAME

 

                                                                               

SIGNATURE
and/or (delete as applicable)
BUSINESS TITLE
NAME

 

                                                                               

SIGNATURE
The Company undertakes to notify the Bank of any changes of the holder(s) of such position(s) B. The Company accepts and agrees to be bound by the FGB Visa Classic/Gold/Platinum cardholder Agreement and Conditions of Use governing the use of the Business/Corporate Credit Card.

 

AUTHORIZED SIGNATURE

 

AUTHORIZED SIGNATURE


7. AGREEMENT
I/We agree that
A) First Global Bank Limited be and is hereby authorised and/or requested to:
 1) Open a business credit card account in the name of the Company;
 2) Make any queries deemed necessary in connection with this request; and
 3) At its discretion issues a business/corporate credit card on the Company's account to any individual nominated in a request signed by the person(s) holding the position(s) listed below.
DETAILS OF PERSON(S) AUTHORISED TO NOMINATE CARDHOLDERS
BUSINESS TITLE
NAME

 

SIGNATURE
and/or (delete as applicable)
BUSINESS TITLE
NAME

 

SIGNATURE
We/I undertake to notify the Bank of any changes in the holder(s) of such position(s).

B. The Partners/Sole Proprietor accept(s) and agree(s) to be bound by the FGB Visa Classic/Gold/Platinum cardholder Agreement and Conditions of Use governing the use of the Business/Corporate Credit Card.

 
PARTNER/SOLE PROPRIETOR SIGNATURE PARTNER/SOLE PROPRIETOR SIGNATURE

FOR BANK'S USE ONLY

CREDIT LINE RECOMMENDED

_______________________________________

_______________________________________

_______________________________________

 

 

 date
MANAGER'S SIGNATURE
CREDIT CARD CENTER
CREDIT LINE APPROVED date

 

 

 date
MANAGER'S SIGNATURE

 

 

 date
MANAGER'S SIGNATURE

 

 

 date
MANAGER'S SIGNATURE
 I ACCEPT*

I/We certify that the information I/we provided on this application is correct and complete. You may, from time to time, give any credit and other information about me/us, including any information on this Form to and receive such information from, any: (a) Credit Bureau or Reporting Agency; (b) Person with whom I may have or propose to have financial dealings; (c) First Global Bank Limited and its subsidiaries or affiliates; and (d) Person in connection with any dealings I have or propose to have with you.

We undertake to immediately advise you in writing of any change in any form of identification including but not limited to change of names and addresses and agree to provide such documentation as may be relevant.

I/we agree that you may use that information to establish and maintain any relationship with you and to offer me any services from time to time as permitted by law.