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Fuelwise Fuel Card Application Form

Short Application

Long Application

Where do you buy your fuel at present?

If a fuel card, please state which:

Do you fill in UK, NI, ROI or EU?

Would you like the option to refuel in these countries?

Company Details

Contact Name

Position within Company

Company Name

Company Address

Postcode

Building/House Number

Phone

VAT Number

Company Registration Number

Nature of Business

Number of Years Trading

Number of vehicles

Estimated Monthly Usage (Litres)

Sole trader information *Only complete if a sole trader*

Date of Birth

Personal Address

Postcode

Building/House Number

GPS Tracking

Current GPS Provider?

No.of Vehicles currently GPS tracked

Monthly Subscription

Trade References One*

Company Name

Company Address

Postcode

Building/House Number

Phone

Trade References Two*

Company Name

Company Address

Postcode

Building/House Number

Phone

Card Details

Number of Cards Required

Invoice Details

Invoice Terms

Invoice Method (Email or Hard Copy)

Bank Details

Account Name

Sort Code (UK Only)

Account Number (UK Only)

IBAN (ROI Only)

BIC Number (ROI Only)

Bank/Building Society

Address

Postcode

Building/House Number

Customer Referral
Refer a friend to Fuelwise and get €50/£50 off your first invoice*

Name

Company

Contact Number

Email Address

*Your application will be processed immediately by completing the Long Application,
if you complete the Short Application our team will call you for further information.

Benefits of Choosing Fuelwise

Competitive pricing at all our sites with weekly price updates via text or email and payment terms to suit your needs

Reduce Costs

Select where you require fuel and what products you require, and we will design your account as specified

Tailored Solution

Accurate reports on fuel usage and VAT approved invoices ensure there is no need to spend hours looking over transactions and collecting receipts

Reduce Admin

Your own dedicated Account Manager responsible for looking after your account who ensure that you always get the best level of service

Personal Account Manager

Free and unlimited access to Velocity, your online account management system

Online Management Tools

PIN protected cards with the choice of driver name or vehicle registration number for added security

Security

Why our customers choose Fuelwise

VES Transport

“I have been using Fuelwise fuel cards for many years and both the product and level of service is exceptional. To manage my business daily I use Velocity to monitor fuel spend and transactions and e-Route helps my drivers find any of the thousands of sites available with the Fuelwise fuel card. My Account Manager is always on hand to help and goes the extra mile to ensure everything is running smoothly”.

MDE Installations

“Fuelwise is very customer focused and were able to provide what I needed for this project where others couldn’t. The e- Route app helps our engineers find Core sites instead of Non-Core sites which helps with efficiencies and cost savings. Velocity is well managed, and I can create plenty of reports and my Account Manager is always on hand to help. With GPS Tracking built into Velocity I can view distance travelled, speed etc. and driver contact details without having to open another system.”

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