Business Consent Authorization Form
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 toEnd 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:
Authorization Form Templates @ Template.net
Thank you for submission!
We appreciate you taking the time to submit.
Create free forms at Template.net
