To speed up your application:

Before completing this form, you MUST read the Insurance Product Information Document (IPID) that forms part of our Insurance Benefits Document which is available on our website at: barclaycard.co.uk/corp-insurance

If you would prefer to receive the Insurance Benefits Document in a paper format please contact the person sending you this form and a copy will be sent to you within 3 working days.

Please DO NOT complete this application form before you have received and read the Insurance Benefits Document carefully.

Insurance Benefits*

I confirm that I have received the Insurance Benefits Document in my preferred format.

I confirm that I have carefully read and understood the contents of the Insurance Benefits Document.

*Please note, it is a mandatory requirement that you acknowledge you have received and read the documentation before your application can be processed.

Would you like to opt-out of the free Product Insurance Benefits?**

Yes
No

**Please Note - If your organisation opts out of insurance, you won’t be eligible for the insurance benefits and won’t be able to make a claim. To change your insurance preferences at anytime please call 0800 008 008. Calls to 0800 numbers are free from UK landlines and personal mobiles, otherwise call charges may apply. International calls will be charged at a higher rate. Please check with your service provider. Calls may be monitored or recorded in order to maintain high levels of security and quality of service.

Organisation Details

Organisation name (as registered)

Trading name (if applicable)

Barclaycard Commercial Account Number

(if known)

Have there been any changes to your Principal information since you last opened a new product with us?

Yes
No

If yes, please speak to your Account Manager to obtain a Change of Information Form which should be completed to include all Partners, Directors, Trustees, Key Officials and persons with a 10% share or more in the organisation.

Account information

Which currency and monthly credit limit do you require? Limits should be sufficient to cover expenditure for a minimum of 6 weeks.

Sterling (£)

Limit

Euro (€)

Limit

US Dollar ($)

Limit

Type of card (please select one)

Corporate
Premium Corporate

Do you require selected cardholders to have access to cash withdrawals at ATMs?

Yes
No

Do you require the business address to be used for Address Verification Service (AVS) checking (for card-not-present transactions)?*

Yes
No

* The address that will be used to verify where the card is registered. If “no” is selected, the AVS will default to the cardholder address.

Choose an item

Method of settlement

centrally billed
individually billed

Company name to be embossed on cards

(Maximum of 24 characters including spaces)

Statement date

Please choose a date between 2nd and 28th of each month inclusive

Payment information

Please indicate how you are going to make a payment to us

UK Direct Debit

Please complete the UK Direct Debit section on this form

SEPA Direct Debit form

Euro only. Please request a SEPA Direct Debit form

Directfile (Barclays banked for UK Direct Debit for €/$ currencies)

Please contact us to discuss

BACS
CHAPS
Cheque
SWIFT

Other (please specify)

Direct Debit Mandate

For Sterling Payments only.

For Euro or USD payments, please contact your Account Manager to discuss the options available to you.

The Direct Debit Guarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit Barclaycard Commercial will notify you 3 working days in advance of your account being debited or as otherwise agreed. If you request Barclaycard Commercial to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit, by Barclaycard Commercial or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when Barclaycard Commercial asks you to
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Originator's ID No. 431084

Please complete all sections below.

Name of account (as shown on cheque book)

Name of bank or building society

Branch sort code

- -

Bank or building society account number

Instruction to your bank or building society

Please pay Barclaycard Commercial Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Barclaycard Commercial and, if so, details will be passed electronically to my bank/building society.

Please sign below to authorise your Direct Debit Mandate.

Name

Date

/ /

If your Organisation requires two signatures to authorise a Direct Debit, please also complete;

Name

Date

/ /

Merchant category groups

Available categories for spending

Below is a list of merchant category groups which can be made available for spending. Please tick all categories you wish to spend in.

Please note you will only be able to spend in categories you have ticked as part of this application form. Those left unticked will be blocked on this product.

Signature of Administrator authorised to add products to the company account (as indicated in your organisation application form or as subsequently advised to us)

Declaration
By signing this agreement, you confirm that:

You are duly authorised to enter into this agreement for and on behalf of the organisation
The details you have given us are correct
You want us to open a new product/account for the Company named on this form
To the extent a new product/ account being opened involves an individually billed (cardholder settled) element, you will ensure all cardholders concerned are advised of all charges and interest which may be levied on the account (as set out in the term and conditions), including the mandatory 1.19% transaction fee.
You have received sufficient clear information on the key features of the product in order to make an informed decision including information on Interest rates, charges and any fees associated with this product prior to signing this application form.

Full name

Business title

(e.g. proprietor/partner/director)

Date

/ /

Company representative

2) Full name

Email address

Business address for correspondence

Postcode

Country

If you would like us to take payments from your UK bank account, please tick here and speak to your Account Manager to obtain a payment consent form.

Version: September 2020

Barclaycard is a trading name of Barclays Bank PLC. Barclays Bank PLC is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (Financial Services Register number: 122702). Registered in England No: 1026167. Registered office: 1 Churchill Place, London E14 5HP.

Corporate Card UK Account application form

This form must be filled out by an Administrator.

What you need to do

Where to send form:

To speed up your application:

Insurance Benefits*

Would you like to opt-out of the free Product Insurance Benefits?**

Organisation Details

Account information

Which currency and monthly credit limit do you require? Limits should be sufficient to cover expenditure for a minimum of 6 weeks.

Statement date

Payment information

Direct Debit Mandate

For Sterling Payments only.

For Euro or USD payments, please contact your Account Manager to discuss the options available to you.

The Direct Debit Guarantee

Originator's ID No. 431084

Merchant category groups

Available categories for spending

Signature of Administrator authorised to add products to the company account (as indicated in your organisation application form or as subsequently advised to us)

Company representative