Booking Form - Share The Cost Global

Authority for a Third Party to Act on Your Behalf with Share The Cost Global

To allow a third party to act on your behalf in interactions with Share The Cost Global, complete this authorisation form. This authorisation enables STCG to collaborate with your designated representative, ensuring you receive the necessary support and assistance efficiently. For assistance with this form or more information, please contact a staff member.

Client Details

Client's Name

Email Address

Contact Number

AuthorisationI hereby authorise Share The Cost Global to act on my behalf

Consent GivenYesNo

Reason for Third-Party AuthorityWhy you are giving third-party authority to act on your behalf?

Reason

Details of Authorised Third Party

Name

Relationship to Client

Phone

Other (please specify)

Client DeclarationI affirm that the information provided on this form is accurate and that I have the authority to grant this permission. I understand that this authorisation allows Share The Cost Global to act on my behalf for the matters specified above. I acknowledge that I can revoke this authorisation at any time by providing written notice to Share The Cost Global

Client's Full Name

Client's SignatureFilling in with your full name is giving your full authorisation that allows Share The Cost Global to act on your behalf for the matters specified above. I acknowledge that I can revoke this authorisation at any time by providing written notice to Share The Cost Global

Date

Day

Month

Year

Authorised Third Party SignatureBy filling in with your full name, you are taking full responsibility of handling your client's data with the utmost security and care

Date

Day

Month

Year