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Your fuel card application

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Contact Details
Fuel Types
 Petrol
 Diesel
 Hybrid & Electric
Number of Vehicles
Cars

Cars

Vans

Vans

HGV, Coaches

HGV, Coaches

Fuel Usage
(Litres)
(Litres)
Previous
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Which region would you like fuel cards for?

Please enter details of each card you require

To add or remove a card please click  or 
 
Campaign
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GB 

Click here to enter the details manually.

NOTE: Your address is where the cards will be delivered to.


GB 
To add or remove a proprietor please click  or 
SET UP DIRECT DEBIT
 I confirm I wish to set up a Direct Debit
Please enter the following details including your bank or building society sort code.
Your payments are protected by the Direct Debit Guarantee
  • If there are any changes to the amount, date or frequency of your Direct Debit Diesel Card International Limited will notify you (normally 3 working days) in advance of your account being debited or as otherwise agreed. If you request Diesel Card International Limited to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
  • If an error is made in the payment of your Direct Debit, by Diesel Card International Limited or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.
  • If you receive a refund you are not entitled to, you must pay it back when Diesel Card International Limited asks you to.
  • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify Diesel Card International Limited.
 
To complete your application, you will now be redirected to sign our direct debit mandate.

You will need your company bank details to hand and no funds will be taken from your account at this stage.

The customer has been in contact with his account manager by telephone, where he has provided his bank details. The customer has confirmed the details of the SEPA mandate and the general terms and conditions with them.

 Client hereby gave permission to (A) Belgian Fuel Card NV to send an instruction to their bank to debit their account and (B) their bank to debit their account in accordance with the instructions of Belgian Fuel Card NV.

Terms and Conditions

 Please tick this box to confirm you have read and agreed to our Terms and Conditions and wish to proceed.

Privacy Policy:
We collect the Personal Data in the above form for the purpose of improving or services to you, including responding to your query. By completing the above form you agree to our Privacy terms:- Read more here

 Please tick this box to confirm you have read and agreed to our Terms and Conditions and wish to proceed.

Please take a moment to review our terms and conditions and the SEPA Mandate, using the link below.

Click here to view our Terms and Conditions and the SEPA Mandate.

A copy will be emailed to you and our team will review and be in touch.

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