Commercial/Agricultural Application Form

Please choose the Service Plan(s) you require. You must complete all required fields in the direct debit application form. 

Use this information for payment
Service Plan
Commercial Glen Fuel Card

The Commercial Glen Fuel Card is for sole traders, SMEs and Corporations. 

All incomplete applications will be contacted by a Glen Fuels representative to help you with any queries or concerns you may have. 

First Name
Company Name
Company Telephone
Email Verification
Desired Username The spaces and special characters are removed automatically.
Address 1
Address 2
Address 3