Free Business Consent Authorization Form Template

Business Consent Authorization Form

Authorization

I, the undersigned, hereby authorize the representative listed below:

Representative Information

Name

    Title/Position

      Company/Organization

        Phone number

          To represent the following business entity:

          Business Information

          Business Name

            Business Registration Number

              Address

                Duration

                This authorization shall be:

                • Effective immediately and valid until revoked.

                • Effective from Start Date to End Date

                Certification

                By signing below, the business entity affirms that the information provided is accurate and that the authority granted is voluntary and understood.



                Name:

                Date:

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