Royal Relic Guest Hospitalities

RRH CLIENT REGISTRATION FORM

S/UR No.:

R

R

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

Surname

First Name(s)

ID Type

ID Number

Title

Gender

Nationality:

*Date of Birth (DDMMYYYY):

*Marital Status:

CONTACT DETAILS

Prefix

Mobile (Cell) No.

Other No.

*Fax

Email Address

ADDRESS Postal

P.O. Box:

Prefix

Number

PMB

Postal Code

*Residential

Number

Land Mark

Street

Suburb

Town/City

Region

2.       INSTITUTIONAL DETAIL (provided the Doyenne Client is an Institution)

Name of Institution

CONTACT DETAILS

Prefix

Mobile (Cell) No.

Work / Other No.

*Fax

Email Address

Website

ADDRESS

Postal

P.O. Box:

Prefix

Number

PMB

Postal Code

Office Location

Number

Land Mark

Street

Suburb

Town/City

Region

3.       CONDITIONS OF CONTRACT

A.      DO YOU OFTEN HOST GUEST OR CLIENTS?

YES

NO

HOW OFTEN?

Per Month

B.      GENERAL REASONS FOR HOSTING GUESTS AND/OR CLIENTS

C.      TERMS OF PRODUCT PACKAGE CONSUMPT

STRICT FLAT PACKAGE

FLEXIBLE ON REQUEST

4.       PRODUCT PACKAGE DETAILS

DIAMOND

PLATINUM

GOLD

SILVER

ECONOMY

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

Direct Payment

Cash (Banker’s Draft)

On Subscription

Weekly Basis

Half Yearly Basis

Cheques (limited to institutions)

Monthly Basis

Yearly Basis

SUBSCRIPTION AMOUNT (GH₵)

In Words:

In Figures:

(GH₵)

Commencement Date:

NET WORTH:

Prestigious High Net

High Net Worth

Regular

6.       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. 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):

7.       REGISTRATION FEE

Fee Paid Via

CASH

BANKER DRAFT

CHEQUE

OTHER

Fee Amount:

(GH₵)

Signature:

Date (DDMMYYYY):

8.       REFERENCE (By persons or bodies that referred Client to RRH)

I confirm that I, the undersigned referred the above Client to Royal Relic Hospitalities. I have transacted with them and seen Royal Relic Hospitalities as credible, efficient and reliable in delivering on their promises. I hereby recommend RRH for further references and business.

Reference Name

Signature

Reference Code

REFEREE:

9.       CLIENT DECLARATION

I hereby declare that the information provided above is the true representation of myself and/or anybody 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):

10.   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