Application for concluding a contract

Completing the electronic form is the first step to concluding a successful collaboration. We will contact you as soon as we receive the application. Please enter all the required data carefully.  If you need help, you can contact our Call Center at 08 0000 8888.

    Company information

    Account information

    Contact person

    Additional questions

    Vehicle fleet

    Where have you previously purchased fuel?

    Interested in credit/debit NIS fuel cards?

    Your company headquarters is located in:

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