Farmlands Fuel Card Application Form


Farmlands Fuel Card Application Form

Account Holder Details
Required due to AML regulations.
Order Fuel Card
(Please ensure this matches the name on your driver’s licence)
i.e. $400 per day
i.e. $5,000 per month
To activate your card you need to choose a 4-digit PIN number when you first use your card. 

You are not authorised on this account.
Please contact the Account authority to complete this request or ask the Account holder to complete the authority form.