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Morgan Fuel Card Application Form

Fuel Card Application

Section 1 – Company Details

New or Existing Customer
customerType
Registered Office – Full Address
Are you…
areYou
Trading as
tradingAs
Trading Address
If you have operated at the current address for less than 3 years, please give previous address

Section 2 – Trade Reference (must be a current supplier) This must NOT be a fuel supplier

Company Address

Section 3 – Vehicle Details

Section 4 – Car Order

For usage in…
useInUK
useInIreland
useInEurope
Vehicle Reg / Details Diesel, Gas & Lubes Petrol All fuels
1.
vehicleDiesel1
vehiclePetrol1
vehicleAllFuels1
2.
vehicleDiesel2
vehiclePetrol2
vehicleAllFuels2
3.
vehicleDiesel3
vehiclePetrol3
vehicleAllFuels3
4.
vehicleDiesel4
vehiclePetrol4
vehicleAllFuels4
5.
vehicleDiesel5
vehiclePetrol5
vehicleAllFuels5
6.
vehicleDiesel6
vehiclePetrol6
vehicleAllFuels6
7.
vehicleDiesel7
vehiclePetrol7
vehicleAllFuels7
8.
vehicleDiesel8
vehiclePetrol8
vehicleAllFuels8
9.
vehicleDiesel9
vehiclePetrol9
vehicleAllFuels9
10.
vehicleDiesel10
vehiclePetrol10
vehicleAllFuels10

Section 5 – Standard Invoice Payment Terms

Invoice are issued on a weekly basis and Payment by bank transfer on terms as agreed between both parties. I/We have read the card Terms and Conditions of Use and agree to abide by them. I/We agree and understand that Morgan Fuels Group shall not be obliged to accept this application nor to give any reason for refusing the same, nor to enter into any correspondence in regard there to.

Direct Debit Mandate 960

INSTRUCTION TO YOUR BANK OR BUILDING SOCIETY TO PAY DIRECT DEBITS

Please pay Morgan Fuel & Lubes Ltd. Direct Debits from the account detailed in this Instruction subject to the safeguards assured by The Direct Debit Guarantee. I understand that this Instruction may remain with Morgan Fuel & Lubes Ltd. and, if so, details will be passed electronically to my bank/building society.

The Direct Debit Guarantee

  • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
  • If there are any changes to the amount, date or frequency of your Direct Debit Morgan Fuel & Lubes Ltd. will notify you 2 working days in advance of your account being debited or as otherwise agreed. If you request Morgan Fuel & Lubes Ltd. to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
  • If an error is made in the payment of your Direct Debit, by Morgan Fuel & Lubes Ltd. or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society – If you receive a refund you are not entitled to, you must pay it back when Morgan Fuel & Lubes Ltd asks you to.
  • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Section 1 – Direct Debit Mandate SEPA

SEPA DIRECT DEBIT MANDATE

Type of Payment
(must be original signature(s))

By signing this mandate form, you authorise Morgan Fuels Ireland Limited to (A) send instructions to your bank account and (B) your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from Morgan Fuels Ireland Limited. As a part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.Your rights are explained in a statement which you can obtain from your bank. Please complete all the fields marked*.

Section 2 – Direct Debit Mandate SEPA

This Confirmation is given by the debtor named below (“Debtor”) to the creditor named below (“Creditor”) and to each paying bank of the Debtor (the “Debtor Bank”), which is in receipt of one or more direct debits (“SEPA Direct debits(s)”) originated by the Creditor attributable to and for the account of the Debtor under and pursuant to the SEPA Core Direct Debit Scheme (“Scheme”). The purpose of this Confirmation is to facilitate the utilisations by the Debtor of SEPA Direct Debits(s) in order to pay sums owing by the Debtor in the ordinary course of its business to the Creditor. This Confirmation is governed by Irish Law.

The Debtor hereby irrevocably confirms to and for the benefit of the Creditor and each Debtor Bank:

  1. That the Debtor is not a “consumer” for the purpose of the Payment Services Regulations
  2. That the Debtor’s right to a refund for any authorised SEPA Direct Debit shall extend only to such refund rights(s)… Debtor may have under the Payment Services regulations, and shall not include any other right to a refund arising under the rules of the Scheme, or any direct debit mandate given by the Debtor to the Creditor in relation to the Scheme or Otherwise, or in any term of business issued by the Debtor Bank from time to time;
  3. That in respect of any authorised SEPA Direct Debit of any authorised SEPA Direct which has been paid by the Debtor Bank, the Debtor Bank is authorised to reject any refund request(s) from the Debtor in respect of such SEPA Direct Debit other than in circumstances describedin (B) above. This confirmation applies only to SEPA Direct Debits using the Debtor IBAN(s) and Creditor ID(s) listed below
(must be original signature(s))