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Petrol stations
Application form
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Application form
Application form for the discount card:
Name :
*
Surname :
*
Address (street, No.) :
Town/village :
Telephone :
*
E-mail :
Date :
The most convenient place to take your card :
*
Must be filled
Application form for the credit card:
Company name :
*
Company registered address :
*
Company code :
*
VAT payer code :
*
Bank account No. :
*
Telephone :
*
Fax :
*
E-mail :
*
Contact Person :
*
Position, name and surname of the person who will sign the agreement :
*
Notes :
*
*
Must be filled
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