Fuelcard Application Form
Please fill in the form below.
Company
*
Company number
VAT number
Years trading
Trading Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Position
*
Card Interest
*
Fastfuel
Keyfuels
UK Fuels
European
Not sure
Number of cards required
*
Card embossing
Fastfuel is the only card that gives a fixed price on petrol. Other networks will be surcharged.
Product mix
*
Diesel only
Diesel & Petrol
All Fuels
Monthly spend (£)
*
Price Notification
*
Email
Text
Number of vehicles in fleet
*
Type of vehicles
Current Supplier
*
What price are you paying for Diesel?
Invoices are sent weekly by email and payment is taken by Direct Debit. Direct Debit will be taken 7 days from invoice date. Please enter your business bank details. We will email you the Direct Debit Mandate for you to sign.
Bank account name
*
Sort code
*
Account number
*
How did you hear about us?
*
Referral Code
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