Customer Details

Your Vehicles

Please state Driver Name and Vehicle Registrations Number to be assigned to each card & preferred (4 digit) Pin. If no PIN is specified, you will be allocated one.

+ Add Another Car

Payment

Pay by Direct Debit

Please download and fill out the Direct Debit form: Download Direct Debit Form [PDF]

I confirm that I have read and accept the terms and conditions of sale detailed below. I confirm that the information given in this application for a credit facility is in all respects true and accurate.

Data protection (Jersey) Law, 2018

Words shown in italics are defined in the Data Protection (Jersey) Law, 2018 ("the Act"). Where I provide you with personal data ("data"), I understand that the data will be held securely, in confidence and processed for the purpose of carrying out your fuel supply business and associated activities ("Activities"). In considering my application, I accept that you may consult with and disclose the data to credit reference agencies, banks, credit insurers and other responsible organisations outside your business that you have nominated ("third parties"), and that such third parties may process the data. I understand that under the Act I have a right to know what data you hold on me if I apply to you in writing and pay the applicable fee.