Silvey Fleet Fuel Card Application Form

SILVEY FLEET FUEL CARD APPLICATION FORM

If you would like to apply for one of our fuel cards, please fill in this online form.

Tell us about your company, how many fuel cards you will need for your drivers and select one of our fuel card providers. Once you have submitted your application, our fuel card team will call you to discuss your choice in more detail and make sure you have selected the right fuel card for your company's needs.

If you have any questions when completing the form, please call us on 01454 333022.

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Business Details

Business Name:

Address:

Postcode:

Company type

Non Limited
Limited Company

Number of years trading:

Contact:

Position:

Telephone:

Mobile:

Email:

How did you hear about us?

Card Requirements

Number of cards required:

Card Types

Terms & Conditions

View the terms and condition of sale.

Terms and conditions

I accept the terms and conditions of the sale

Direct Debit Details

Instruction to your Bank or Building Society to pay Direct Debits. Please complete the whole form.

Name and full postal address of your Bank or Building Society.

To the Manager:

Address:

Postcode:

Name(s) of account holder(s):

Branch Sort Code:

Account No:

Instruction to your Bank or or Building Society

Please pay Thomas Silvey Ltd T/A Silvey Fleet Direct Debit from the account detailed on this instruction subject to the safeguards assured by the direct debit guarantee.

The Direct Debit Guarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
If there are any changes to the amount, date or frequency of your Direct Debit Thomas Silvey Ltd will notify you 5 working days in advance of your account being debited or as otherwise agreed. If you request Thomas Silvey Ltd 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 Thomas Silvey Ltd 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 Thomas Silvey Ltd 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 us.