Reference 1: Name: Address:
Tel:
I/We authorize Oak Taxis t/a Blue Bell Private hire to conduct a personal investigation as may be considered necessary and we also authorize any credit reference agency to supply such information as may be required. We acknowledge overdue accounts are subject to a service charge of 2% per month. Admin charges are 15% per invoice I am an authorized representative of the company named above. Print Name: Date:
Please Print this form out and fax it to
0151 480 1888
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