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
Email
This field is for validation purposes and should be left unchanged.

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)