"*" indicates required fields Fuel Card Application Form Company Details Company Name:* Company Address:*County:* Postcode (if applicable): Nature of Business: Company Registration Number: VAT Registration Number: Number of Years Trading: IMPORTANT* Inver Fuel Cards are available for limited companies only. To confirm this application is for a limited company, please tick this box Details of Vehicles Number of Vehicles:* Usage of Road Fuel per month:* Current Card/Fuel Supplier: Estimated Monthly Purchases: No of Fuel Cards Required:* Fuel required:* Petrol Diesel Gas oil HVO Contact Details Contact Name:* Telephone Number:* Mobile Number:Email* I would like my invoice via email: Yes No We may wish to contact you in the future for marketing purposes. If you do not want to be contacted please tick this box Yes Inver Fuel Card Terms and Conditions of Use I/WE accept the Inver Fuel Card Terms and Conditions of Use. Please tick here to accept these Terms and Conditions of Use . I/WE acknowledge that all risk of loss will pass to the Account Holder from date of dispatch of the Inver Fuel Card to the Account Holder in accordance with the Terms and Conditions of Use. I/WE agree and understand that Inver Energy LTD will not be obliged to accept this application, not to give any reason for refusing the same, nor to enter into any correspondence in regard to their refusal. Please note a Deposit or Pre-payment may be required, along with additional documentation. Authorise Signature of Company: Full Name: Date: Position Held in Company: CAPTCHA
"*" indicates required fields
