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REGO *

Manufacturer *

Make *

Model *

Year *

Vehicle Usage Profile

Estimate of Kilometer travelled p.a *

Current Odometer Reading

Drive Train *

Vehicle Type *

Fuel Used *

Card Type *

CarWash (permiited)

Estimated Spend & Savings

Estimated Monthly Spend ($) *

Yearly Spend ($) *

F/cast Fuel savings net of Card fee ($) *

Spend Control Parameter

Daily Card Limit ($) *

Monthly Card Limit ($) *

Maximum Single Transaction Limit ($) *

AUGreen

Carbon Footprint (tonnes)

Driver or person authorised to manage Fuel Card transactions

First Name *

Middle Name

Family Name *

Phone

Mobile *

Email *

Authoritized to Book A Service *

Authoritized to Book A Repair *

After submission, do you wish to *

Register – Vehicles