Credit Application Form

Credit Application Form

Thank you for choosing McFall Fuel! Please answer the questions as accurately as possible. Should you prefer to complete a manual form, please download the form from the resources portal on our website.
If you've spoken to a Territory or Market Manager, please select their name below, otherwise leave it blank.
How did you hear about McFall Fuel?*
Type of Entity*

Trade References

Please provide three trade references. These must not comprise utility or finance providers (e.g. power or phone companies, banks or financial lending institutions)
Company Name*
Company
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Company Name*
Company
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Company Name*
Company
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Which products are you signing up for?*

Bulk Fuel DeliveryFuelcardLubricantsFuel Storage

Fuelcard Details
*AdBlue is available for purchase on Fuelcard under Fuel & Oil and All Purchases options.

*A Transaction Fee of 3% will apply to all non-fuel purchases made on the Fuelcard.
Direct Debit Authority
I/We authorise you until further notice, to debit my/our account with all amounts which McFALL FUEL LTD (hereinafter referred to as the Initiator) the registered Initiator of the Authorisation Code, 0334881, may initiate by Direct Debit. I/We acknowledge and accept that the bank accepts this authority only upon the conditions listed below.
Name of Bank Account*
Bank*
Branch*
Account Number*
Suffix*

Terms & Conditions
View our Terms & Conditions.
Signatory / Personal Guarantor*

First NameLast Name
Signature for Authorization*
Should you prefer to complete a manual form, please download the form from the resources portal on our website.
Please verify that you are human*
Should be Empty:

Personal Details