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Bulk application

Apply today

its easy

Simply fill out the application form below

Apply for a bulk account

Please fill in all required boxes below*:

Business Type

Business Registered Address

Trading Address

(Please only fill out if different from registered address)

Business Details

Director

If sole trader application please complete the below:

Contact 1

Contact 3

Contact 2

Contact 4

Account Contact

Security

Product Details 

Please indicate average monthly volumes for any of the following products that you use:

Product

Litres (L)

Pounds (£)

Product Use

Bulk Diesel

Bulk Gas Oil

Bulk Kerosene

Bulk Lubricants

Barrel Lubricants

Lubricants Cannister

Bulk AdBlue

AdBlue IBC

AdBlue Cannister

Only fill out if you require bulk deliveries:

Are there vehicle restrictions to the delivery point?

Please indicate vehicle size: (R= Rigid, A= Arctic)

Special Instructions:

RDCO

Please tick the product that you use:

Please tick what is used for from the selection below:

If other, please state:

Bulk Delivery Address

(If more than one delivery address, please fill out delivery addresses form)

Trade References

Reference 1

Reference 2

Bank Details

To process your application the following must be completed:

By signing below, you agree that we have your consent and the consent of any other employee, or director

whose personal information you have given in this application. It may be necessary to pass on the personal

information to a third party credit agent or insurers. You also agree to our terms and conditions.

For example, we may pass the information to a credit agency/ credit insurer where a search may be conducted on the information, so that an approved credit facility may be considered for you/your business.

Application to be signed by Director or Owner of Business.

I/We have read the Terms and Conditions overleaf and agree to abide by them:

Thanks for submitting!

Business Details

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