Account Application From

By submitting this application form, Ener-Gi Fuel Corporation does not guarantee that an account will be opened for you. We will look into your application and see if you will qualify to open an account.

Thank you for your understanding.

Filling Station

 

Business Information

 

Contact Person Information

 

Business / Trade References

 

Bank Details

 

Vehicles

  • Should you wish to add more vehicles onto this account we will do so at a later stage via email correspondence.
  • Ener-Gi Fuel Corporation Pty Ltd, undertake to supply once off tags, corresponding to the number of vehicles registered.
  • Should the tags however be lost, they will be replaced at a cost of R80 each, to the customer.
 

Terms and Conditons

  • 1. All invoices are to be paid 30 days from the date of the invoice.
  • 2. Claims arising from invoices must be made within seven working days.
  • 3. By submitting this application, you authorize Ener-Gi Fuel Corporation Pty Ltd to make inquiries into the banking and business/trade references that you have supplied.
  • 4. Should any fraud occur with regards to this account, a thorough investigation will be conducted. Ener-Gi Fuel Corporation Pty Ltd does not take responsibility for fraud which occurs as a result of the applicant’s negligence and mismanagement of its vehicles and its drivers.
  • 5. By submitting this form, it is considered as if you have signed this application form, and you agree to all of the terms and conditions therein.
 

Verification