Royal Relic Guest Hospitalities

RRH CLIENT APPLICATION FORM

S/UR No.:

R

A

0

8

1

5

A

0

0

0

1

FRAUD WARNING: Knowingly presenting false information is a crime. Failure to disclose relevant information may result in non-rendering of service or application neglect or cancellation. RRH would not be held responsible for any false information provided by Client.

1.       DOYENNE (PRINCIPAL) CLIENT DETAILS – BOOKING CLIENT DETAILS

Client Full Name

Nationality

Occupation

Other Information:

CONTACT DETAILS

Prefix

Mobile (Cell) No.

Work / Other No.

*Fax

Client Registration No.

Email Address

ADDRESS

Postal

P.O. Box:

Prefix

Number

PMB

Postal Code

Office Location

Number

Land Mark

Street

Suburb

Town/City

Region

2.       CONSUMER CLIENT (GUEST) DETAILS

No. of Persons:

Reception Date:

Reception Time:

GMT

:

Client Full Name

Relationship with Doyenne

Occupation

Nationality

Other Information:

CONTACT DETAILS

Prefix

Mobile (Cell) No.

Other No.

*Fax

Email Address

REASONS FOR HOSTING GUESTS AND/OR CLIENTS

3.       PRODUCT PACKAGE DETAILS

DIAMOND

PLATINUM

GOLD

SILVER

ECONOMY

Extra Service Request

Arrival

Transport

Lodging

Food & Drink

Laundry

Security

Make-Up & Hair Care

Chauffeuring

Sight-Seeing & Tour

Departure

Consultations

Other

4.       PAYMENT SCHEDULE (How Client chooses to pay for services rendered)

Direct Payment

Cash (Draft)

On Subscription

Weekly Basis

Half Yearly Basis

Cheques (for institutions only)

Monthly Basis

Yearly Basis

PAYMENT DETAILS

For: Subscription Clients

Subscription Clients should provide reliable Bank details for effective bank deductions. To avoid high bank penalty charges, as well as the possibility in default in payment for services, please ensure that you have enough money in your account provided below.

Bank Name:

Bank Branch:

Type of Bank Account:

Savings

Current

Account Holder Name:

Bank (Branch) Code

Account Number

SUBSCRIPTION AMOUNT (GH₵):

In Words:

In Figures:

(GH₵)

Subscription Due Date:

For: Direct Payment Clients

Our expectation per our Terms & Conditions is that at least 70% of the Initial Total Cost for the selected package is deposited before service rendered. Any amount short of the specified cost, without Management authorization and approval would render the business transaction between Royal Relic Hospitalities and Doyenne Client null and void.

Initial Total Cost/Amount

(GH₵)

(Less) Deposit Amount

(GH₵)

(Attached by Bankers Draft, reflecting the agreeable amount.)

Arrears

(GH₵)

(Add) Extra Request Expense

(GH₵)

(Attached is a Receipt of Extra Requested Services by Consumer)

Total Collectible Funds

(GH₵)

NET WORTH:

Prestigious High Net

High Net Worth

Regular Net Worth

NET WORTH CODE:

I, the undersigned, hereby authorize Royal Relic Hospitalities to deduct any liability in cash, incurred by my dealings with Royal Relic Hospitalities. I agree that, in the event of any subscription, or default in payments, my bank information as I have provided above be used in the direct payments of my liability.

Signature:

Date (DDMMYYYY):

5.       DIRECT DEBIT ORDER DETAILS (In the case where Direct deductions are to be made Account)

Subscription and Non-Subscription Clients should provide reliable Bank details for effective bank deductions. This information should be as provided on Client Registration Form, unless there is some significant change. To avoid high bank penalty charges, as well as the possibility in default in payment for services, please ensure that you have enough money in your account provided below.

Bank Name:

Bank Branch:

Type of Bank Account:

Savings

Current

Account Holder Name:

Bank (Branch) Code

Account Number

I, the undersigned, hereby authorize Royal Relic Hospitalities to deduct any liability in cash, incurred by my dealings with Royal Relic Hospitalities. I agree that, in the event of any subscription, or default in payments, my bank information as I have provided above be used in the direct payments of my liability.

Signature:

Date (DDMMYYYY):

6.       CLIENT DECLARATION

I hereby declare that the information provided above is the true representation of myself and/or any body or institution represented. I am well informed and aware of the Terms & Conditions regarding my transactions/ business relationship with Royal Relic Hospitalities, and subsequently agree to them. Below is my Signature to prove my agreement to do business with Royal Relic Hospitalities.

Signature:

Date (DDMMYYYY):

7.       ADMINISTRATION (Official Section)

I confirm that I have seen and received the Registration Form of the Client above and have reviewed all areas and supporting documents, Registration Fee, and other requirements and hence confirm that this client is genuine, credible and qualified for business with Royal Relic Hospitalities.

Surname

First Name

Signature

Consultant Code

CONSULTANT:

SUPERVISOR:

MANAGER:

   Foot note: The areas marked (*) are Optional and NOT Compulsory to the client