Application for payment card

Name and surname*
Personal code*
Post address*
(street or plot/farm, house number and/or flat number, city/borough, town, village, municipality, county)
Zip code*
Phone*
E-mail*
Please issue payments cards as follows
Information to be printed on a payment card (name and surname of the user) Desired limit per month, EUR (100, 200 ...)
Notices
CAPTCHA
Comments
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Fixed bonus of 2 cents/kg with VAT.
The payment card is issued free of charge.
Valid as a payment instrument in all Elenger fuelling stations.
The card can only be used with a PIN-code.
Based on the transactions executed on a card, an invoice is issued once a month with a payment deadline of 15 calendar days.

The payment card will be sent to the postal address indicated in the application within a week after the signing of the contract. The payment card will be issued in two parts, payment card will be send by registered letter and PIN-codes by ordinary post.

To order the payment card, please complete the application in the adjoining form.

Information to be printed on a payment card (name and surname of the user)	Desired limit per month, EUR (100, 200 ...)

Application for payment card

Application for payment card

Client support(Mon-Fri 8.30-17.00)

Client support
(Mon-Fri 8.30-17.00)