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Fuel Card Application
TITLE
FIRST NAME
LAST NAME
COMPANY
POSITION HELD
ADDRESS
CITY
COUNTY
POSTAL_CODE
EMAIL
PHONE
FAX
INVOICE/CARD DESPATCH ADDRESS
HOME ADDRESS FOR PARTNER/SOLE TRADER
YEARS AT PRESENT ADDRESS
If less than 3 years, please state previous address
PREVIOUS ADDRESS
YEARS AT THIS ADDRESS
HOME ADDRESS FOR PARTNER 2 (if required)
YEARS AT THIS ADDRESS
TYPE OF BUSINESS
COMPANY REGISTRATION NO.
YEAR ESTABLISHED
ESTIMATED MONTHLY FUEL SPEND
£
PLEASE SUPPLY DETAILS OF ANY OTHER ACCOUNTS HELD WITH US
CURRENT CARD TYPE
(if any)
Card Requirements
CARD FEE
NUMBER OF CARDS REQUIRED
TOTAL FLEET SIZE
Additional Reports
In addition to the standard management information provided to customers, additional management reports are also available. These reports are optional and are charged as extra.
Reporting Requirements
Billing frequency & credit period
Vehicle registration transaction report
Card transaction report
Fuel brand analysis
Fuel brand league table
The fuel brand league table is available at no extra cost.
Weekly & 7 days
Weekly & 14 days
Twice monthly & 7 days
Any option other than those listed may be chargable.
Financial Details
Please provide us with a copy of your most recent accounts to support your application. all details are held in the strictest confidence. as with other fuel accounts, security may be required for credit purposes. A bank reference may also be required