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To apply for a Maxol Fuel Card Account today, simply complete the following steps:

Step 1: Fill in the application form below

Step 2: Email a copy of the completed application to us immediately - so we can start the process

Step 3: Print and sign a copy of the Application Form and Direct Debit, then send them to Maxol Fuel Card Services, 48 Trench Road, Mallusk, Newtownabbey, BT36 4TY, Northern Ireland.

Please Note: That subject to the availability of suitable credit information on the applicant; all applications are usually processed within 5 working days from receipt of completed forms.

Section 1: Details of Applicant
Name of Company:
Contact Name:
Registered Business Address:
Town:
County:
Postal Code:
Landline Tel. No.		Mobile Tel. No.
Fax No.		Website
Email Address:
Company Reg. No.
Business Type:	Limited Company  Partnership  Sole Trader  Government Body  Charity