ORDER YOUR CARDS

TYPE OF CARD *

INDIVIDUAL

ORGANIZATION

CARD OFFER OPTIONS *

PRE PAID CARD

POST PAID CARD

GIFT CARD

• Prepaid Card: A reloadable debit card with a consumption credit from which the purchase amount is deducted at each transaction. • Post Paid card: A post billed fuel card with a ceiling amount per billing period. It is billed monthly based on consumption during that billing period. •Gift Card: A disposable gift card, with a use period limited to one year after the card is created.

NAME OF THE APPLICANT *

NAME OF THE ORGANIZATION

E-MAIL *

PHONE NUMBER *

NUMBER OF VEHICLES *

Less than 10 vehicles

Betwwen 10 and 50 Vehicles

Greater than 50 Vehicles