Account Application

Name *

First

Last

Email *

Contact telephone number *

Account type *

Business trading name

Corporate customers only

Anticipated spend per month *

Please estimate the montly spend on an account

Do you or your company currently have an existing account with a provider locally? *

If yes to above, which company do you hold an account with?

Please provide any additional information you believe will be of help to our team

Veezu (The new name for Panther Taxis)