Account Application Request

If you would like to apply for a Panther Taxis Ltd customer account please fill out and submit the below form.

Important – All business and personal account applications are subject to further details and a credit check before approval.  Panther Taxis Ltd act as agent for self employed drivers.

Account Request Form

* Full Name

* Account Type Personal Corporate

Business Name

Only required for Corporate accounts.

* Address

* Email

Email

Confirm Email

* Contact Number

Website

Only required for Corporate accounts.

I/we agree to a Credit Check

We will obtain information about you or your company from credit reference agencies and Group records to check your credit status and identity. The agencies will record our enquiries which may be seen by other companies who make their own credit enquiries. We will use credit scoring.

*